{
"Npi": {
"NPI": "1912859471",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "ON-TIME MEDICAL GROUP INC",
"ParentOrgTIN": null,
"OrgName": "ON-TIME MEDICAL GROUP INC",
"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": "9846 LIBERTY RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RANDALLSTOWN",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21133-2007",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-754-4343",
"MailingAddressFaxNumber": "410-754-4389",
"FirstLinePracticeLocationAddress": "9846 LIBERTY RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RANDALLSTOWN",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21133-2007",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-754-4343",
"PracticeLocationAddressFaxNumber": "410-754-4389",
"EnumerationDate": "02/09/2026",
"LastUpdateDate": "02/09/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TANWANI",
"AuthorizedOfficialFirstName": "HELEN",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "OWNER/CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "443-851-3082",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0405X",
"TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}