{
"Npi": {
"NPI": "1275304289",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "DARITI TRANSPORTATION LLC.",
"ParentOrgTIN": null,
"OrgName": "DARITI TRANSPORTATION LLC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "63 MIDDLESEX ST STE 12",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH CHELMSFORD",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01863-1584",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "164-620-6134",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "63 MIDDLESEX ST STE 12",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH CHELMSFORD",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01863-1584",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "164-620-6134",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/10/2024",
"LastUpdateDate": "09/28/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GEORGE",
"AuthorizedOfficialFirstName": "OLUWAGBENGA",
"AuthorizedOfficialMiddleName": "CHRIS",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "646-206-1342",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "342000000X",
"TaxonomyName": "Transportation Network Company",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}