{
"Npi": {
"NPI": "1285324384",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BORODKIN",
"FirstName": "LILIYA",
"MiddleName": null,
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LSW, MSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "TANENBAUM",
"OtherFirstName": "LILIYA",
"OtherMiddleName": null,
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "39 JARMAN PL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRIDGEWATER",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08807-5580",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-280-4149",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "39 JARMAN PL",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRIDGEWATER",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08807-5580",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-280-4149",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/11/2023",
"LastUpdateDate": "05/11/2023",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "44SL05590400",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}