{
"Npi": {
"NPI": "1811902240",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DHIREN GANDHI MD 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": "240 MATHISTOWN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LITTLE EGG HARBOR TWP",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08087-4061",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-294-4232",
"MailingAddressFaxNumber": "609-294-4235",
"FirstLinePracticeLocationAddress": "240 MATHISTOWN RD",
"SecondLinePracticeLocationAddress": "SUITE 215",
"PracticeLocationAddressCityName": "LITTLE EGG HARBOR",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08087-4061",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-294-4232",
"PracticeLocationAddressFaxNumber": "609-294-4235",
"EnumerationDate": "07/31/2006",
"LastUpdateDate": "06/09/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GANDHI",
"AuthorizedOfficialFirstName": "DHIREN",
"AuthorizedOfficialMiddleName": "K",
"AuthorizedOfficialTitle": "PRINCIPAL MEMBER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "609-294-4232",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "MA07935900",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}