{"npi":"1568020311","type":"NPI-2","status":"active","name":{"display":"Vine Beauty Supply","other":[],"organization_name":"VINE BEAUTY SUPPLY","authorised_official":"Shirley Purnell"},"specialty":{"primary_taxonomy":"335E00000X","primary_taxonomy_description":"Prosthetic/Orthotic Supplier","slug":"prosthetic-orthotic-supplier","schema_org_specialty":null,"all":[{"code":"335E00000X","description":"Prosthetic/Orthotic Supplier","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"615 RAHWAY AVE","city":"WOODBRIDGE","state":"NJ","postal_code":"070953437","country_code":"US","phone":"7324255778"},{"purpose":"MAILING","street_1":"615 RAHWAY AVE","city":"WOODBRIDGE","state":"NJ","postal_code":"070953437","country_code":"US","phone":"7324255778","fax":"8007456726"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1922270974","state":"NJ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-06-05","last_updated":"2019-06-05","_meta":{"source":"NPPES","snapshot_date":"2019-06-05","doc_url":"https://findmynpi.com/api"}}