{"npi":"1467715524","type":"NPI-2","status":"active","name":{"display":"Dialysis Clinic Inc.","other":[],"organization_name":"DIALYSIS CLINIC INC.","authorised_official":"Donovan Schultz"},"specialty":{"primary_taxonomy":"207RN0300X","primary_taxonomy_description":"Nephrology Physician","slug":"nephrology-physician","schema_org_specialty":null,"all":[{"code":"207RN0300X","description":"Nephrology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"105 N CENTER DR","city":"NORTH BRUNSWICK","state":"NJ","postal_code":"089024909","country_code":"US","phone":"7329401029","fax":"7324220473"},{"purpose":"MAILING","street_1":"1633 CHURCH ST","city":"NASHVILLE","state":"TN","postal_code":"372032990","country_code":"US","street_2":"SUITE 500, PHYSICIAN PRACTICE DIVISION","phone":"6153273061","fax":"6153292513"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"6615007","state":"NJ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-06-22","last_updated":"2023-10-04","_meta":{"source":"NPPES","snapshot_date":"2023-10-04","doc_url":"https://findmynpi.com/api"}}