{
"Npi": {
"NPI": "1467702704",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "THIRUVALLUVAN",
"FirstName": "NAGAVALLI",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MSN, APN, NP-C, CRRN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11 PAVLOCAK CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EDISON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08820-4426",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "469-257-3500",
"MailingAddressFaxNumber": "551-278-0675",
"FirstLinePracticeLocationAddress": "11 PAVLOCAK CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EDISON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08820-4426",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "469-257-3500",
"PracticeLocationAddressFaxNumber": "973-994-7786",
"EnumerationDate": "09/13/2012",
"LastUpdateDate": "11/05/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LA2200X",
"TaxonomyName": "Adult Health Nurse Practitioner",
"LicenseNumber": "26NJ00399200",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}