{"npi":"1073675740","type":"NPI-1","status":"active","name":{"display":"Jaxon Fernandes MD","other":[],"first":"JAXON","last":"FERNANDES","middle":"JAMES","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NJ","license":"25MA08153000"}]},"addresses":[{"purpose":"LOCATION","street_1":"1 CLARA MAASS DR","city":"BELLEVILLE","state":"NJ","postal_code":"071093550","country_code":"US","phone":"9734502000"},{"purpose":"MAILING","street_1":"PO BOX 708640","city":"SANDY","state":"UT","postal_code":"840708640","country_code":"US","phone":"8668692395","fax":"8013529502"}],"license":{"state":"NJ","number":"25MA08153000"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0125237","state":"NJ","issuer":null},{"type_code":"01","label":"Other","value":"P00399307","state":"NJ","issuer":"RAIL ROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070111000055","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NJ","pac_id":"5799785093"}]},"enumeration_date":"2006-12-15","last_updated":"2007-10-24","_meta":{"source":"NPPES","snapshot_date":"2007-10-24","doc_url":"https://findmynpi.com/api"}}