{"npi":"1194701292","type":"NPI-2","status":"active","name":{"display":"Mercy Management Of Southeastern Pennsylvania","other":[],"organization_name":"MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA","authorised_official":"Doug;as Smith"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2821 ISLAND AVE","city":"PHILADELPHIA","state":"PA","postal_code":"191532300","country_code":"US","street_2":"SUITE D& E","phone":"2158636110","fax":"2158636111"},{"purpose":"MAILING","street_1":"1 W ELM ST","city":"CONSHOHOCKEN","state":"PA","postal_code":"194282007","country_code":"US","street_2":"2ND FLOOR","phone":"6105676964","fax":"6105676170"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"2234269001","state":"PA","issuer":"AMERIHEALTH DELAWARE"},{"type_code":"01","label":"Other","value":"2234269001","state":"PA","issuer":"KEYSTONE HEALTH PCP 65"},{"type_code":"05","label":"Medicaid","value":"100778793 0152","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"125186900","state":"PA","issuer":"DEPT OF LABOR"},{"type_code":"01","label":"Other","value":"2059546","state":"PA","issuer":"AETNA MEDICARE"},{"type_code":"01","label":"Other","value":"1551070","state":"PA","issuer":"AMERIHEALTH ADMIN"},{"type_code":"01","label":"Other","value":"1551070","state":"PA","issuer":"BLUE SHIELD COMP"},{"type_code":"01","label":"Other","value":"2234269001","state":"PA","issuer":"AMERIHEALTH NEW JERSEY"},{"type_code":"01","label":"Other","value":"2234269001","state":"PA","issuer":"AMERIHEALTH HMO"},{"type_code":"01","label":"Other","value":"2234269001","state":"PA","issuer":"BLUE SHIELD ILIN"},{"type_code":"01","label":"Other","value":"30010759","state":"PA","issuer":"KEYSTONE MERCY"},{"type_code":"01","label":"Other","value":"1551070","state":"PA","issuer":"BLUE SHIELD"},{"type_code":"01","label":"Other","value":"2234269001","state":"PA","issuer":"KEYSTONE HEALTH PLAN PCP"},{"type_code":"01","label":"Other","value":"1551070","state":"PA","issuer":"BLUE SHIELD PA 65"},{"type_code":"01","label":"Other","value":"2059546","state":"PA","issuer":"AETNA HMO PPO"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-12-20","last_updated":"2008-05-09","_meta":{"source":"NPPES","snapshot_date":"2008-05-09","doc_url":"https://findmynpi.com/api"}}