{"npi":"1255308094","type":"NPI-2","status":"active","name":{"display":"Northeast Medical & Oxygen","other":[],"organization_name":"NORTHEAST MEDICAL & OXYGEN","authorised_official":"Linda Churla"},"specialty":{"primary_taxonomy":"314000000X","primary_taxonomy_description":"Skilled Nursing Facility","slug":"skilled-nursing-facility","schema_org_specialty":null,"all":[{"code":"314000000X","description":"Skilled Nursing Facility","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2 GLENVIEW LANE","city":"WAVERLY","state":"PA","postal_code":"18471","country_code":"US","street_2":"NORTHEAST MEDICAL & OXYGEN","phone":"5705867594","fax":"5705867594"},{"purpose":"MAILING","street_1":"2 GLENVIEW LANE","city":"WAVERLY","state":"PA","postal_code":"18471","country_code":"US","street_2":"NORTHEAST MEDICAL & OXYGEN","phone":"5705867594","fax":"5705867594"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0014946490001","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"6000004330","state":"PA","issuer":"HEALTH LICENSE #"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-03-01","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}