{
"Npi": {
"NPI": "1346578572",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PRETTY FEET PODIATRY CORP",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
"OtherFirstName": null,
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"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "94 GEORGE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TENAFLY",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07670-2011",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "201-982-1762",
"MailingAddressFaxNumber": "718-445-3336",
"FirstLinePracticeLocationAddress": "94 GEORGE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TENAFLY",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07670-2011",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "201-982-1762",
"PracticeLocationAddressFaxNumber": "718-445-3336",
"EnumerationDate": "11/29/2009",
"LastUpdateDate": "09/04/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZHANG",
"AuthorizedOfficialFirstName": "TING",
"AuthorizedOfficialMiddleName": "TING",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.P.M.",
"AuthorizedOfficialTelephoneNumber": "201-982-1762",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0131X",
"TaxonomyName": "Foot Surgery Podiatrist",
"LicenseNumber": "25MD00291600",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}