{"npi":"1396335675","type":"NPI-2","status":"active","name":{"display":"Glutality Provider Group Of New Jersey, Pa.","other":[],"organization_name":"GLUTALITY PROVIDER GROUP OF NEW JERSEY, PA.","authorised_official":"Mitchell Stottland"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3600 ROUTE 66 STE 150","city":"NEPTUNE","state":"NJ","postal_code":"077532645","country_code":"US","phone":"5616782026"},{"purpose":"MAILING","street_1":"401 FAIRWAY DR STE 200","city":"DEERFIELD BEACH","state":"FL","postal_code":"334411800","country_code":"US","phone":"5616782026"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210504002149","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NJ","pac_id":"1759790793"},{"enrlmt_id":"O20230607001914","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AZ","pac_id":"1759790793"},{"enrlmt_id":"O20230621000631","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TN","pac_id":"1759790793"},{"enrlmt_id":"O20230710003559","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"ME","pac_id":"1759790793"},{"enrlmt_id":"O20230804000722","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"1759790793"}]},"enumeration_date":"2021-01-21","last_updated":"2025-07-21","_meta":{"source":"NPPES","snapshot_date":"2025-07-21","doc_url":"https://findmynpi.com/api"}}