{
"Npi": {
"NPI": "1548497621",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BAIRD",
"FirstName": "JAMES",
"MiddleName": "FEW",
"NamePrefix": "DR.",
"NameSuffix": "IV",
"Credential": "D.O.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2A LAUREL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MULLICA HILL",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08062-9652",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "672-263-7342",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "435 HURFFVILLE CROSS KEYS RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TURNERSVILLE",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08012-2453",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-582-2816",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/16/2009",
"LastUpdateDate": "03/03/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "25MB09077400",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207RA0401X",
"TaxonomyName": "Addiction Medicine (Internal Medicine) Physician",
"LicenseNumber": "25MB09077400",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207P00000X",
"TaxonomyName": "Emergency Medicine Physician",
"LicenseNumber": "25MB09077400",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}