{"npi":"1063409191","type":"NPI-1","status":"active","name":{"display":"Wayne Siegel MD","other":[],"first":"WAYNE","last":"SIEGEL","middle":"D","credential":"MD"},"specialty":{"primary_taxonomy":"207RG0100X","primary_taxonomy_description":"Gastroenterology","slug":"gastroenterology","schema_org_specialty":"Gastroenterologic","all":[{"code":"207RG0100X","description":"Gastroenterology","primary":true,"state":"NJ","license":"MA50168"}]},"addresses":[{"purpose":"LOCATION","street_1":"255 ROUTE 3 STE 204","city":"SECAUCUS","state":"NJ","postal_code":"070943857","country_code":"US","phone":"2018662400","fax":"2018660444"},{"purpose":"MAILING","street_1":"255 ROUTE 3 EAST","city":"SECAUCUS","state":"NJ","postal_code":"07094","country_code":"US","street_2":"SUITE 210","phone":"2018662400","fax":"2018660444"}],"license":{"state":"NJ","number":"MA50168"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"5036801","state":"NJ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041103001069","type_code":"14-10","type_desc":"PRACTITIONER - GASTROENTEROLOGY","state":"NJ","pac_id":"5395707020"}]},"enumeration_date":"2005-10-04","last_updated":"2024-03-22","_meta":{"source":"NPPES","snapshot_date":"2024-03-22","doc_url":"https://findmynpi.com/api"}}