{"npi":"1346725561","type":"NPI-2","status":"active","name":{"display":"Deptford Internal Medicine Associates LLC","other":[],"organization_name":"DEPTFORD INTERNAL MEDICINE ASSOCIATES LLC","authorised_official":"Imran Mirza"},"specialty":{"primary_taxonomy":"261QP2300X","primary_taxonomy_description":"Primary Care Clinic","slug":"primary-care-clinic","schema_org_specialty":"PrimaryCare","all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1132 COOPER STREET SUITE THREE","city":"DEPTFORD","state":"NJ","postal_code":"080963014","country_code":"US","phone":"8568488060","fax":"8568488038"},{"purpose":"MAILING","street_1":"PO BOX 69","city":"MICKLETON","state":"NJ","postal_code":"080560069","country_code":"US","phone":"8568488060","fax":"8568488038"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"25MA08024700","state":"NJ","issuer":"STATE LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20181113000023","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NJ","pac_id":"1254685142"}]},"enumeration_date":"2018-10-03","last_updated":"2018-10-03","_meta":{"source":"NPPES","snapshot_date":"2018-10-03","doc_url":"https://findmynpi.com/api"}}