{"npi":"1669862199","type":"NPI-2","status":"active","name":{"display":"Footprint New Jersey Limited Liability Company","other":[],"organization_name":"FOOTPRINT NEW JERSEY LIMITED LIABILITY COMPANY","authorised_official":"Sarosh Cooper"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"NJ","license":"35SI00482700"}]},"addresses":[{"purpose":"LOCATION","street_1":"121 NEWARK AVE","city":"JERSEY CITY","state":"NJ","postal_code":"073025872","country_code":"US","street_2":"STE. 503","phone":"2012406186","fax":"2017636606"},{"purpose":"MAILING","street_1":"121 NEWARK AVE","city":"JERSEY CITY","state":"NJ","postal_code":"073025872","country_code":"US","street_2":"STE. 503","phone":"2012406186","fax":"2017636606"}],"license":{"state":"NJ","number":"35SI00482700"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2015-02-05","last_updated":"2015-07-29","_meta":{"source":"NPPES","snapshot_date":"2015-07-29","doc_url":"https://findmynpi.com/api"}}