{"npi":"1174071625","type":"NPI-1","status":"active","name":{"display":"Kayla Lodge PA-C","other":[{"code":"1","type":"Formerly known as","value":"KELLY, KAYLA"}],"first":"KAYLA","last":"LODGE","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NJ","license":"25MP00409800"}]},"addresses":[{"purpose":"LOCATION","street_1":"325 PRINCETON AVE","city":"PRINCETON","state":"NJ","postal_code":"085401698","country_code":"US","phone":"6099248131","fax":"6099248532"},{"purpose":"MAILING","street_1":"325 PRINCETON AVE","city":"PRINCETON","state":"NJ","postal_code":"085401698","country_code":"US","phone":"6099248131","fax":"6099248532"}],"license":{"state":"NJ","number":"25MP00409800"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20161227001902","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NJ","pac_id":"7618258971"}]},"enumeration_date":"2016-09-13","last_updated":"2024-09-26","_meta":{"source":"NPPES","snapshot_date":"2024-09-26","doc_url":"https://findmynpi.com/api"}}