{
"Npi": {
"NPI": "1295030005",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SENIOR SERVICES OF MONMOUTH",
"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": "1816 MOUNT HOLLY RD",
"SecondLineMailingAddress": "201",
"MailingAddressCityName": "BURLINGTON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08016",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-747-8866",
"MailingAddressFaxNumber": "609-747-8869",
"FirstLinePracticeLocationAddress": "1816 MOUNT HOLLY RD",
"SecondLinePracticeLocationAddress": "SUITE 201",
"PracticeLocationAddressCityName": "BURLINGTON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08016-4718",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-747-8866",
"PracticeLocationAddressFaxNumber": "609-747-8869",
"EnumerationDate": "01/26/2011",
"LastUpdateDate": "01/26/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COSTIGAN",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "609-747-8866",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HP0087600",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}