{
"Npi": {
"NPI": "1952571028",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CORNERSTONE AMBULATORY SURGERY CENTER LLC",
"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": "PO BOX 759",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LANGHORNE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19047-0759",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-752-4040",
"MailingAddressFaxNumber": "215-752-5348",
"FirstLinePracticeLocationAddress": "3 CORNERSTONE DR",
"SecondLinePracticeLocationAddress": "SUITE 704",
"PracticeLocationAddressCityName": "LANGHORNE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19047-1320",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-752-7080",
"PracticeLocationAddressFaxNumber": "215-752-7075",
"EnumerationDate": "03/05/2008",
"LastUpdateDate": "04/24/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THANKI",
"AuthorizedOfficialFirstName": "ASHOKKUMAR",
"AuthorizedOfficialMiddleName": "SHIVSHANKAR",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "215-752-4040",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "21331501",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}