The latest weekly update have jumped to 4,458 records. NPI database changes in this weekly update have the following details: 2,695 Organization updates, 11,938 individual updates and 183 deactivations. New York, with 268 updates remains the leading city this week from the 1,500 updates of the top ten cities. 
California is the leading state this week with 1,704 updates remains the leading state of the 14,816 updates.
