{
"Npi": {
"NPI": "1396981882",
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "COMPREHENSIVE MULTI-SPECIALTY MEDICAL GROUP, PC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherOrgNameTypeCode": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1255",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ENGLEWOOD CLIFFS",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07632-0255",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "201-342-0444",
"MailingAddressFaxNumber": "201-342-0709",
"FirstLinePracticeLocationAddress": "556 EAGLE ROCK AVE",
"SecondLinePracticeLocationAddress": "SUITE 208",
"PracticeLocationAddressCityName": "ROSELAND",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07068-1503",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "201-342-0444",
"PracticeLocationAddressFaxNumber": "201-342-0709",
"EnumerationDate": "01/05/2009",
"LastUpdateDate": "01/05/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARSH",
"AuthorizedOfficialFirstName": "ANTHONY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.O.",
"AuthorizedOfficialTelephoneNumber": "201-320-5227",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208VP0014X",
"TaxonomyName": "Interventional Pain Medicine Physician",
"LicenseNumber": "25MB08501200",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}