{"npi":"1104389345","type":"NPI-1","status":"active","name":{"display":"Tyler Goldberg","other":[],"first":"TYLER","last":"GOLDBERG"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"301 HOSPITAL DR","city":"GLEN BURNIE","state":"MD","postal_code":"210615803","country_code":"US","phone":"4107874000"},{"purpose":"MAILING","street_1":"11700 WOODLAND DR","city":"LUTHERVILLE TIMONIUM","state":"MD","postal_code":"210931519","country_code":"US","phone":"4434157445"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190925000938","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MD","pac_id":"5496085011"}]},"enumeration_date":"2019-04-12","last_updated":"2019-04-12","_meta":{"source":"NPPES","snapshot_date":"2019-04-12","doc_url":"https://findmynpi.com/api"}}