{
"Npi": {
"NPI": "1952739435",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "UNITY GLOBAL AGENCY LLC",
"ParentOrgTIN": null,
"OrgName": "UNITY GLOBAL AGENCY 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": "634 CLINTON AVENUE",
"SecondLineMailingAddress": "304",
"MailingAddressCityName": "NEWARK",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07108",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "862-371-3005",
"MailingAddressFaxNumber": "862-267-3322",
"FirstLinePracticeLocationAddress": "634 CLINTON AVENUE",
"SecondLinePracticeLocationAddress": "304",
"PracticeLocationAddressCityName": "NEWARK",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07108",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "862-371-3005",
"PracticeLocationAddressFaxNumber": "862-267-3322",
"EnumerationDate": "10/22/2013",
"LastUpdateDate": "10/22/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADEYANJU",
"AuthorizedOfficialFirstName": "TAIWO",
"AuthorizedOfficialMiddleName": "ASEDIPUPO",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "862-371-3005",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HP0177400",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}