{
"Npi": {
"NPI": "1609698109",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ANSTEY",
"FirstName": "OLIVIA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "NP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "301 LIPPINCOTT DR STE 410",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARLTON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08053-4197",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "856-291-8920",
"MailingAddressFaxNumber": "856-291-8922",
"FirstLinePracticeLocationAddress": "218A SUNSET RD STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WILLINGBORO",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08046-1110",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-291-8920",
"PracticeLocationAddressFaxNumber": "856-291-8922",
"EnumerationDate": "10/28/2024",
"LastUpdateDate": "12/23/2025",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "26NJ15189800",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}