{
"Npi": {
"NPI": "1811013873",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "TOWNSHIP OF WESTAMPTON",
"ParentOrgTIN": null,
"OrgName": "TOWNSHIP OF WESTAMPTON",
"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": "PO BOX 467",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LUMBERTON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08048",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-261-1002",
"MailingAddressFaxNumber": "609-261-6088",
"FirstLinePracticeLocationAddress": "710 RANCOCAS ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WESTAMPTON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08060-5642",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-267-2041",
"PracticeLocationAddressFaxNumber": "609-267-7398",
"EnumerationDate": "03/21/2007",
"LastUpdateDate": "07/21/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
"AuthorizedOfficialFirstName": "WYLIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CHIEF",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "856-784-3715",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "WEST00650",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}