{
"Npi": {
"NPI": "1659805869",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LIN LI, M.D., P.A.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "15 DOLORES DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EDISON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08817-2328",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-246-1932",
"MailingAddressFaxNumber": "732-246-1936",
"FirstLinePracticeLocationAddress": "1303 STATE ROUTE 27",
"SecondLinePracticeLocationAddress": "SUITE 5",
"PracticeLocationAddressCityName": "SOMERSET",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08873-3456",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "732-246-1932",
"PracticeLocationAddressFaxNumber": "732-246-1936",
"EnumerationDate": "04/13/2017",
"LastUpdateDate": "09/26/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LI",
"AuthorizedOfficialFirstName": "LIN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D",
"AuthorizedOfficialTelephoneNumber": "585-315-2433",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "25MA08998100",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}