{
"Npi": {
"NPI": "1982281325",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KAN",
"FirstName": "OLIVIA",
"MiddleName": "S",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "465 SOUTH ST STE 103",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MORRISTOWN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07960-6442",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-971-5449",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "100 MADISON AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MORRISTOWN",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07960-6136",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-971-5449",
"PracticeLocationAddressFaxNumber": "973-290-8325",
"EnumerationDate": "03/24/2021",
"LastUpdateDate": "11/11/2025",
"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": "2080H0002X",
"TaxonomyName": "Pediatric Hospice and Palliative Medicine Physician",
"LicenseNumber": "25MA12810900",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}