{"npi":"1497921845","type":"NPI-2","status":"active","name":{"display":"South Jersey Pediatric Gastroenterology, LLC","other":[],"organization_name":"SOUTH JERSEY PEDIATRIC GASTROENTEROLOGY, LLC","authorised_official":"John Tung"},"specialty":{"primary_taxonomy":"2080P0206X","primary_taxonomy_description":"Pediatric Gastroenterology Physician","slug":"pediatric-gastroenterology-physician","schema_org_specialty":null,"all":[{"code":"2080P0206X","description":"Pediatric Gastroenterology Physician","primary":true,"state":"NJ","license":"25MA0719400"}]},"addresses":[{"purpose":"LOCATION","street_1":"5429 HARDING HWY","city":"MAYS LANDING","state":"NJ","postal_code":"083302263","country_code":"US","street_2":"SUITE 302","phone":"6096258688","fax":"6096254162"},{"purpose":"MAILING","street_1":"5429 HARDING HWY","city":"MAYS LANDING","state":"NJ","postal_code":"083302263","country_code":"US","street_2":"SUITE 302","phone":"6096258688","fax":"6096254162"}],"license":{"state":"NJ","number":"25MA0719400"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8007101","state":"NJ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-05-06","last_updated":"2008-05-06","_meta":{"source":"NPPES","snapshot_date":"2008-05-06","doc_url":"https://findmynpi.com/api"}}