{"npi":"1104245521","type":"NPI-1","status":"active","name":{"display":"Dr. Vikram Premkumar M.D.","other":[],"first":"VIKRAM","last":"PREMKUMAR","middle":"JOSHUA","credential":"M.D."},"specialty":{"primary_taxonomy":"207RH0003X","primary_taxonomy_description":"Hematology & Oncology","slug":"hematology-oncology","schema_org_specialty":"Oncologic","all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"207RH0003X","description":"Hematology & Oncology","primary":true,"state":"NJ","license":"25MA10779500"}]},"addresses":[{"purpose":"LOCATION","street_1":"718 TEANECK RD","city":"TEANECK","state":"NJ","postal_code":"076664245","country_code":"US","phone":"2012276008","fax":"2015307981"},{"purpose":"MAILING","street_1":"1430 TULANE AVE # SL-50","city":"NEW ORLEANS","state":"LA","postal_code":"701122699","country_code":"US","phone":"5049887809"}],"license":{"state":"NJ","number":"25MA10779500"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0743542","state":"NJ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200504001572","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NY","pac_id":"0749576072"},{"enrlmt_id":"I20200713003000","type_code":"14-83","type_desc":"PRACTITIONER - HEMATOLOGY/ONCOLOGY","state":"NJ","pac_id":"0749576072"}]},"enumeration_date":"2014-04-14","last_updated":"2023-04-24","_meta":{"source":"NPPES","snapshot_date":"2023-04-24","doc_url":"https://findmynpi.com/api"}}