{
"Npi": {
"NPI": "1588355705",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEALTH EXPRESS NJ LLC",
"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": "31 PLAYERS BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEWTON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07860-1900",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-347-4453",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "43 HAMPTON HOUSE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEWTON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07860-1408",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-446-6606",
"PracticeLocationAddressFaxNumber": "973-446-6608",
"EnumerationDate": "05/18/2023",
"LastUpdateDate": "09/11/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CIRONE",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PA-C, PH.D.",
"AuthorizedOfficialTelephoneNumber": "973-446-6606",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363AM0700X",
"TaxonomyName": "Medical Physician Assistant",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}