{
"Npi": {
"NPI": "1821495037",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PATEL",
"FirstName": "RADHIKA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PA-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1 FEDERAL ST",
"SecondLineMailingAddress": "STE SW200",
"MailingAddressCityName": "CAMDEN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08103-1155",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "856-435-8842",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "900 CENTENNIAL BLVD",
"SecondLinePracticeLocationAddress": "201",
"PracticeLocationAddressCityName": "VOORHEES",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08043-4637",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-435-8842",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/03/2014",
"LastUpdateDate": "02/29/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "25MP00353700",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}