{"npi":"1083966170","type":"NPI-2","status":"active","name":{"display":"North Shore Medical PLLC","other":[],"organization_name":"NORTH SHORE MEDICAL PLLC","authorised_official":"Marvin Base"},"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":"NY","license":"187770"}]},"addresses":[{"purpose":"LOCATION","street_1":"9308 QUEENS BLVD # 1B1C","city":"REGO PARK","state":"NY","postal_code":"113741135","country_code":"US","phone":"7188061434","fax":"7188061435"},{"purpose":"MAILING","street_1":"9308 QUEENS BLVD # 1B1C","city":"REGO PARK","state":"NY","postal_code":"113741135","country_code":"US","phone":"7188061434","fax":"7188061435"}],"license":{"state":"NY","number":"187770"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20130312000401","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"9234384561"}]},"enumeration_date":"2012-10-12","last_updated":"2024-12-11","_meta":{"source":"NPPES","snapshot_date":"2024-12-11","doc_url":"https://findmynpi.com/api"}}