{"npi":"1043217078","type":"NPI-1","status":"active","name":{"display":"Dr. Michael Romberg MD","other":[],"first":"MICHAEL","last":"ROMBERG","middle":"SEAN","credential":"MD"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"IL","license":"036095771"}]},"addresses":[{"purpose":"LOCATION","street_1":"71 W 156TH ST","city":"HARVEY","state":"IL","postal_code":"604264260","country_code":"US","street_2":"SUITE 311","phone":"7084768205","fax":"8152772999"},{"purpose":"MAILING","street_1":"PO BOX 820","city":"MATTESON","state":"IL","postal_code":"604430820","country_code":"US","phone":"7088627674","fax":"7088621781"}],"license":{"state":"IL","number":"036095771"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036095771","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041101000185","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"IL","pac_id":"6709848948"}]},"enumeration_date":"2005-07-05","last_updated":"2015-08-25","_meta":{"source":"NPPES","snapshot_date":"2015-08-25","doc_url":"https://findmynpi.com/api"}}