{"npi":"1205995776","type":"NPI-1","status":"active","name":{"display":"Dr. Anthony Provenzano MD","other":[],"first":"ANTHONY","last":"PROVENZANO","middle":"FRANK","credential":"MD"},"specialty":{"primary_taxonomy":"207RH0003X","primary_taxonomy_description":"Hematology & Oncology","slug":"hematology-oncology","schema_org_specialty":"Oncologic","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"NY","license":"131172-1"},{"code":"207RH0003X","description":"Hematology & Oncology","primary":true,"state":"NY","license":"131172-1"}]},"addresses":[{"purpose":"LOCATION","street_1":"1 PONDFIELD RD W","city":"BRONXVILLE","state":"NY","postal_code":"107082666","country_code":"US","street_2":"STE 1","phone":"9149613421","fax":"9149610360"},{"purpose":"MAILING","street_1":"1 PONDFIELD RD W","city":"BRONXVILLE","state":"NY","postal_code":"107082666","country_code":"US","street_2":"STE 1","phone":"9149613421","fax":"9149610360"}],"license":{"state":"NY","number":"131172-1"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00704105","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101013000781","type_code":"14-83","type_desc":"PRACTITIONER - HEMATOLOGY/ONCOLOGY","state":"NY","pac_id":"9335331016"}]},"enumeration_date":"2006-12-08","last_updated":"2022-12-05","_meta":{"source":"NPPES","snapshot_date":"2022-12-05","doc_url":"https://findmynpi.com/api"}}