{
"Npi": {
"NPI": "1356643134",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HACKETTSTOWN MIDWIVES",
"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": "PO BOX 253",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BUDD LAKE",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07828-0253",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "908-509-1801",
"MailingAddressFaxNumber": "732-301-9252",
"FirstLinePracticeLocationAddress": "57 US HIGHWAY 46 STE 300",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HACKETTSTOWN",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07840-2695",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "908-509-1801",
"PracticeLocationAddressFaxNumber": "732-301-9252",
"EnumerationDate": "11/29/2010",
"LastUpdateDate": "07/23/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEDERER",
"AuthorizedOfficialFirstName": "LISA",
"AuthorizedOfficialMiddleName": "ANN",
"AuthorizedOfficialTitle": "PRESIDENT/CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CNM",
"AuthorizedOfficialTelephoneNumber": "908-399-5059",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "26NJ00501100",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "367A00000X",
"TaxonomyName": "Advanced Practice Midwife",
"LicenseNumber": "25ME00035501",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": [
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
]
}
}
}