{"npi":"1174396089","type":"NPI-2","status":"active","name":{"display":"Lakeside Podiatry, PLLC","other":[],"organization_name":"LAKESIDE PODIATRY, PLLC","authorised_official":"Brian Haselsberger"},"specialty":{"primary_taxonomy":"213E00000X","primary_taxonomy_description":"Podiatry","slug":"podiatry","schema_org_specialty":"Podiatric","all":[{"code":"213E00000X","description":"Podiatry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"50 SQUARE DR STE 1000","city":"VICTOR","state":"NY","postal_code":"145641062","country_code":"US","phone":"5854335040","fax":"5854335046"},{"purpose":"MAILING","street_1":"50 SQUARE DR STE 1000","city":"VICTOR","state":"NY","postal_code":"145641062","country_code":"US","phone":"5854335040"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240109003403","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"7214388719"},{"enrlmt_id":"O20250207001607","type_code":"30-48","type_desc":"DME SUPPLIER - PHYSICIAN - PODIATRY","state":"NY","pac_id":"7214388719"}]},"enumeration_date":"2023-11-02","last_updated":"2023-11-02","_meta":{"source":"NPPES","snapshot_date":"2023-11-02","doc_url":"https://findmynpi.com/api"}}