{"npi":"1083663694","type":"NPI-1","status":"active","name":{"display":"Susheer Gandotra M.D.","other":[],"first":"SUSHEER","last":"GANDOTRA","credential":"M.D."},"specialty":{"primary_taxonomy":"207RI0200X","primary_taxonomy_description":"Infectious Disease","slug":"infectious-disease","schema_org_specialty":"Infectious","all":[{"code":"207RI0200X","description":"Infectious Disease","primary":false,"state":"DE","license":"C1-0008498"},{"code":"207RI0200X","description":"Infectious Disease","primary":true,"state":"PA","license":"MD435097"}]},"addresses":[{"purpose":"LOCATION","street_1":"175 E BROWN ST","city":"EAST STROUDSBURG","state":"PA","postal_code":"183013098","country_code":"US","street_2":"SUITE 114","phone":"5704262301","fax":"5704262306"},{"purpose":"MAILING","street_1":"206 E. BROWN ST.","city":"EAST STROUDSBURG","state":"PA","postal_code":"18301","country_code":"US","street_2":"POCONO HEALTHCARE MGMT.-PROFESSIONAL CENTER","phone":"5704204951","fax":"5704763754"}],"license":{"state":"PA","number":"MD435097"},"identifiers":[{"type_code":"01","label":"Other","value":"1083663694","state":"DE","issuer":"NPI"},{"type_code":"05","label":"Medicaid","value":"1021961250001","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080909000279","type_code":"14-44","type_desc":"PRACTITIONER - INFECTIOUS DISEASE","state":"PA","pac_id":"9234147380"}]},"enumeration_date":"2006-05-09","last_updated":"2010-12-29","_meta":{"source":"NPPES","snapshot_date":"2010-12-29","doc_url":"https://findmynpi.com/api"}}