{
  "npi": "1114044708",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "VICTOR",
    "authorized_official_last_name": "MORA",
    "authorized_official_middle_name": "M",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2013682005",
    "authorized_official_title_or_position": "Administrator,",
    "certification_date": "2020-11-04",
    "enumeration_date": "2007-03-26",
    "last_updated": "2020-11-04",
    "organization_name": "ADVANCED DIAGNOSTIC IMAGING OF NEW JERSEY INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "34 STATE HIGHWAY ROUTE 17 NORTH",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PARAMUS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "201-368-1431",
      "postal_code": "07652",
      "state": "NJ",
      "telephone_number": "201-368-2005"
    },
    {
      "address_1": "34 ROUTE 17 NORTH",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PARAMUS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "201-368-1431",
      "postal_code": "07652",
      "state": "NJ",
      "telephone_number": "201-368-2005"
    }
  ],
  "taxonomies": [
    {
      "code": "261QR0200X",
      "desc": "Clinic/Center, Radiology",
      "license": "22548",
      "primary": true,
      "state": "NJ",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "74",
        "medicare_type": "Radiation Therapy Center"
      }
    ]
  }
}