{
"Npi": {
"NPI": "1679987564",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PARTNERS MEDICAL SUPPLIES INC.",
"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": "395 BROAD AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RIDGEFIELD",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07657-2333",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "201-820-1598",
"MailingAddressFaxNumber": "201-820-1599",
"FirstLinePracticeLocationAddress": "395 BROAD AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RIDGEFIELD",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07657-2333",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "201-820-1598",
"PracticeLocationAddressFaxNumber": "201-820-1599",
"EnumerationDate": "06/18/2014",
"LastUpdateDate": "06/24/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAR",
"AuthorizedOfficialFirstName": "ALEX",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT / RESPIRATORY CARE",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CRTT",
"AuthorizedOfficialTelephoneNumber": "201-820-1598",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BX2000X",
"TaxonomyName": "Oxygen Equipment & Supplies (DME)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}