{
"Npi": {
"NPI": "1376672410",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SHIWEI TONG, M.D., LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "666 PLAINSBORO RD STE 1005",
"SecondLineMailingAddress": "BLDG. 1000",
"MailingAddressCityName": "PLAINSBORO",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08536-3013",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-275-6810",
"MailingAddressFaxNumber": "609-275-8862",
"FirstLinePracticeLocationAddress": "666 PLAINSBORO RD STE 1005",
"SecondLinePracticeLocationAddress": "BLDG. 1000",
"PracticeLocationAddressCityName": "PLAINSBORO",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08536-3013",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-275-6810",
"PracticeLocationAddressFaxNumber": "609-275-8862",
"EnumerationDate": "03/05/2007",
"LastUpdateDate": "09/17/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TONG",
"AuthorizedOfficialFirstName": "SHIWEI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT AND OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "609-275-6810",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "MA074825",
"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."
}
}
}
}