{"npi":"1023545530","type":"NPI-1","status":"active","name":{"display":"Domenic Derobertis Caa","other":[],"first":"DOMENIC","last":"DEROBERTIS","credential":"CAA"},"specialty":{"primary_taxonomy":"367H00000X","primary_taxonomy_description":"Anesthesiologist Assistant","slug":"anesthesiologist-assistant","schema_org_specialty":null,"all":[{"code":"367H00000X","description":"Anesthesiologist Assistant","primary":false,"state":null,"license":null},{"code":"367H00000X","description":"Anesthesiologist Assistant","primary":true,"state":"FL","license":"AA698"}]},"addresses":[{"purpose":"LOCATION","street_1":"1150 VARNUM ST NE","city":"WASHINGTON","state":"DC","postal_code":"200172104","country_code":"US","phone":"2028547000"},{"purpose":"MAILING","street_1":"13661 SAMHILL LN","city":"MOUNT AIRY","state":"MD","postal_code":"217714578","country_code":"US"}],"license":{"state":"FL","number":"AA698"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220308000828","type_code":"14-32","type_desc":"PRACTITIONER - ANESTHESIOLOGY ASSISTANT","state":"FL","pac_id":"3678844339"}]},"enumeration_date":"2017-05-15","last_updated":"2025-03-10","_meta":{"source":"NPPES","snapshot_date":"2025-03-10","doc_url":"https://findmynpi.com/api"}}