{
"Npi": {
"NPI": "1265482137",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GOLDSTEIN",
"FirstName": "MERYL",
"MiddleName": "LEVYA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD PHD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "TILLOTSON",
"OtherFirstName": "MERYL",
"OtherMiddleName": "LEE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 419",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SYLVA",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28779-0419",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "828-366-1150",
"MailingAddressFaxNumber": "828-586-8209",
"FirstLinePracticeLocationAddress": "509 BILTMORE AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ASHEVILLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28801-4601",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "828-253-0762",
"PracticeLocationAddressFaxNumber": "828-254-4892",
"EnumerationDate": "05/11/2006",
"LastUpdateDate": "05/01/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "207ZC0500X",
"TaxonomyName": "Cytopathology Physician",
"LicenseNumber": "09900057",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207ZP0102X",
"TaxonomyName": "Anatomic Pathology & Clinical Pathology Physician",
"LicenseNumber": "09900057",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}