{
"Npi": {
"NPI": "1962165449",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GRAFF",
"FirstName": "HOLLY",
"MiddleName": "REBEKAH",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LM, CPM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "159 LINCOLN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MONTCLAIR",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07042-4430",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-992-4623",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "159 LINCOLN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MONTCLAIR",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07042-4430",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "917-992-4623",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/20/2021",
"LastUpdateDate": "03/05/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "174N00000X",
"TaxonomyName": "Lactation Consultant (Non-RN)",
"LicenseNumber": "L-316788",
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "176B00000X",
"TaxonomyName": "Midwife",
"LicenseNumber": "25MW00003700",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}