{
"Npi": {
"NPI": "1932435310",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NUTLEY VOLUNTEER EMERGENCY RESCUE SQUAD",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 172",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NUTLEY",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07110-0172",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-667-7487",
"MailingAddressFaxNumber": "973-667-6571",
"FirstLinePracticeLocationAddress": "119 CHESTNUT ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NUTLEY",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07110-2432",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-667-7487",
"PracticeLocationAddressFaxNumber": "973-667-6571",
"EnumerationDate": "10/20/2009",
"LastUpdateDate": "04/01/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PAULSON",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "PRESIDENT & CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "973-667-7487",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "N0711015",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}