{
"Npi": {
"NPI": "1538116660",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PAGNANI-BRAGA-KIMMEL UROLOGIC ASSOC, P.A.",
"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": "222 NEW ROAD BUILDING 700",
"SecondLineMailingAddress": "CENTRAL PARK EAST",
"MailingAddressCityName": "LINWOOD",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08221",
"MailingAddressCountryCode": "UM",
"MailingAddressTelephoneNumber": "609-653-4343",
"MailingAddressFaxNumber": "609-653-4176",
"FirstLinePracticeLocationAddress": "222 NEW ROAD BUILDING 700",
"SecondLinePracticeLocationAddress": "CENTRAL PARK EAST",
"PracticeLocationAddressCityName": "LINWOOD",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08221",
"PracticeLocationAddressCountryCode": "UM",
"PracticeLocationAddressTelephoneNumber": "609-653-4343",
"PracticeLocationAddressFaxNumber": "609-653-4716",
"EnumerationDate": "05/26/2006",
"LastUpdateDate": "04/01/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SIMERSON",
"AuthorizedOfficialFirstName": "GAIL",
"AuthorizedOfficialMiddleName": "MARIE",
"AuthorizedOfficialTitle": "PRACTICE MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "609-653-4343",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}