{
"Npi": {
"NPI": "1891123204",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KACZMARSKI BARIATRICS, 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": "280 MIDDLETOWN BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LANGHORNE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19047-1816",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "280 MIDDLETOWN BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LANGHORNE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19047-1816",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "267-572-3168",
"PracticeLocationAddressFaxNumber": "267-572-3161",
"EnumerationDate": "10/22/2013",
"LastUpdateDate": "10/22/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KACZMARSKI",
"AuthorizedOfficialFirstName": "CHRISTOPHER",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "SURGEON",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D,.",
"AuthorizedOfficialTelephoneNumber": "267-572-3168",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282N00000X",
"TaxonomyName": "General Acute Care Hospital",
"LicenseNumber": "MD063400L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}