{"npi":"1902804693","type":"NPI-2","status":"active","name":{"display":"Atlantic Gynecologic On","other":[],"organization_name":"ATLANTIC GYNECOLOGIC ON","authorised_official":"Lisa Mendum"},"specialty":{"primary_taxonomy":"207VX0201X","primary_taxonomy_description":"Gynecologic Oncology","slug":"gynecologic-oncology","schema_org_specialty":"Oncologic","all":[{"code":"207VX0201X","description":"Gynecologic Oncology","primary":true,"state":"NJ","license":"MB48253"}]},"addresses":[{"purpose":"LOCATION","street_1":"3349 HWY 138","city":"WALL TOWNSHIP","state":"NJ","postal_code":"077199671","country_code":"US","street_2":"BLDG B SUITE F","phone":"7322805464","fax":"7322805443"},{"purpose":"MAILING","street_1":"3349 HWY 138","city":"WALL TOWNSHIP","state":"NJ","postal_code":"077199671","country_code":"US","street_2":"BLDG B SUITE F","phone":"7322805464","fax":"7322805443"}],"license":{"state":"NJ","number":"MB48253"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"6734502","state":"NJ","issuer":null},{"type_code":"01","label":"Other","value":"CG6895","state":"NJ","issuer":"RAIL ROAD MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-07-07","last_updated":"2008-01-09","_meta":{"source":"NPPES","snapshot_date":"2008-01-09","doc_url":"https://findmynpi.com/api"}}