{"npi":"1093475246","type":"NPI-1","status":"active","name":{"display":"Mario Diaz PA-C","other":[],"first":"MARIO","last":"DIAZ","middle":"ANTONIO","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NY","license":"027841"}]},"addresses":[{"purpose":"LOCATION","street_1":"101 HOSPITAL RD","city":"PATCHOGUE","state":"NY","postal_code":"117724870","country_code":"US","phone":"6315759591"},{"purpose":"MAILING","street_1":"20 HIGHLAND RD","city":"BRENTWOOD","state":"NY","postal_code":"117171609","country_code":"US","phone":"6315759591"}],"license":{"state":"NY","number":"027841"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220214000888","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NY","pac_id":"4880087956"}]},"enumeration_date":"2021-12-28","last_updated":"2022-01-17","_meta":{"source":"NPPES","snapshot_date":"2022-01-17","doc_url":"https://findmynpi.com/api"}}