{
"Npi": {
"NPI": "1225383342",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ST. JOSEPH'S REGIONAL MEDICAL CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "40 BRUAN PL",
"SecondLineMailingAddress": "APARTMENT A",
"MailingAddressCityName": "CLIFTON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07012-5343",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "347-559-3850",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "40 BRUAN PL",
"SecondLinePracticeLocationAddress": "APARTMENT A",
"PracticeLocationAddressCityName": "CLIFTON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07012-5343",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "347-559-3850",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/15/2012",
"LastUpdateDate": "07/15/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PENG",
"AuthorizedOfficialFirstName": "SHARON",
"AuthorizedOfficialMiddleName": "AI HUNG",
"AuthorizedOfficialTitle": "RESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "347-559-3850",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282N00000X",
"TaxonomyName": "General Acute Care Hospital",
"LicenseNumber": "#39",
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}