{
"Npi": {
"NPI": "1568567873",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ELECTRIC MOBILITY CORPORATION",
"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": "2600 N 44TH ST",
"SecondLineMailingAddress": "SUITE 106",
"MailingAddressCityName": "PHOENIX",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85008-1521",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "602-955-7722",
"MailingAddressFaxNumber": "602-955-7050",
"FirstLinePracticeLocationAddress": "591 MANTUA BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SEWELL",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08080-1016",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-539-3019",
"PracticeLocationAddressFaxNumber": "856-539-3061",
"EnumerationDate": "09/13/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ERACE",
"AuthorizedOfficialFirstName": "BRYN",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "AR SUPERVISOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "856-539-3019",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "5001899",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}