{"npi":"1154375087","type":"NPI-1","status":"active","name":{"display":"Rayees Nizam MD","other":[],"first":"RAYEES","last":"NIZAM","credential":"MD"},"specialty":{"primary_taxonomy":"207RG0100X","primary_taxonomy_description":"Gastroenterology","slug":"gastroenterology","schema_org_specialty":"Gastroenterologic","all":[{"code":"207RG0100X","description":"Gastroenterology","primary":true,"state":"NY","license":"204479"}]},"addresses":[{"purpose":"LOCATION","street_1":"105 COUNTY ROUTE 45A","city":"OSWEGO","state":"NY","postal_code":"131266664","country_code":"US","phone":"3153120089","fax":"3153120110"},{"purpose":"MAILING","street_1":"110 W 6TH ST","city":"OSWEGO","state":"NY","postal_code":"131262507","country_code":"US","phone":"3153495511","fax":"3153495921"}],"license":{"state":"NY","number":"204479"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"01669112","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100512000773","type_code":"14-10","type_desc":"PRACTITIONER - GASTROENTEROLOGY","state":"NY","pac_id":"4082664537"}]},"enumeration_date":"2006-05-22","last_updated":"2021-10-18","_meta":{"source":"NPPES","snapshot_date":"2021-10-18","doc_url":"https://findmynpi.com/api"}}