{"npi":"1184697294","type":"NPI-2","status":"active","name":{"display":"Andrew C Pederzolli MD INC","other":[],"organization_name":"ANDREW C PEDERZOLLI MD INC","authorised_official":"Andrew Pederzolli"},"specialty":{"primary_taxonomy":"207W00000X","primary_taxonomy_description":"Ophthalmology Physician","slug":"ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1059 E STATE ST","city":"SALEM","state":"OH","postal_code":"44460","country_code":"US","phone":"3303329991","fax":"3303322188"},{"purpose":"MAILING","street_1":"1059 E STATE ST","city":"SALEM","state":"OH","postal_code":"44460","country_code":"US","phone":"3303329991","fax":"3303322188"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0173771","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20071214000289","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"1850481896"}]},"enumeration_date":"2006-02-09","last_updated":"2010-09-14","_meta":{"source":"NPPES","snapshot_date":"2010-09-14","doc_url":"https://findmynpi.com/api"}}