{
"Npi": {
"NPI": "1821325101",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EDISON DENTAL CARE P.C.",
"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": "257 BRIDGE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "METUCHEN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08840-2294",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "848-260-0538",
"MailingAddressFaxNumber": "848-260-0539",
"FirstLinePracticeLocationAddress": "257 BRIDGE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "METUCHEN",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08840-2294",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "848-260-0538",
"PracticeLocationAddressFaxNumber": "848-260-0539",
"EnumerationDate": "11/07/2009",
"LastUpdateDate": "11/07/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEUNG",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "848-260-0538",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "DI021771",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}