{"npi":"1164520391","type":"NPI-1","status":"active","name":{"display":"Charles Johnson D.O.","other":[],"first":"CHARLES","last":"JOHNSON","credential":"D.O."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"NY","license":"217292"}]},"addresses":[{"purpose":"LOCATION","street_1":"949 COLUMBIA ST","city":"HUDSON","state":"NY","postal_code":"125342624","country_code":"US","phone":"5188287188","fax":"5188285049"},{"purpose":"MAILING","street_1":"949 COLUMBIA ST","city":"HUDSON","state":"NY","postal_code":"125342624","country_code":"US","phone":"5188287188","fax":"5188285049"}],"license":{"state":"NY","number":"217292"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02103244","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041021000850","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"NY","pac_id":"7810958980"}]},"enumeration_date":"2006-09-20","last_updated":"2007-12-17","_meta":{"source":"NPPES","snapshot_date":"2007-12-17","doc_url":"https://findmynpi.com/api"}}