{"npi":"1265471965","type":"NPI-1","status":"active","name":{"display":"Sang Song MD","other":[],"first":"SANG","last":"SONG","credential":"MD"},"specialty":{"primary_taxonomy":"207ZC0006X","primary_taxonomy_description":"Clinical Pathology Physician","slug":"clinical-pathology-physician","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":false,"state":"PA","license":"MD03172L"},{"code":"207ZC0006X","description":"Clinical Pathology Physician","primary":true,"state":"PA","license":"MD03172L"}]},"addresses":[{"purpose":"LOCATION","street_1":"501 BATH RD","city":"BRISTOL","state":"PA","postal_code":"190073101","country_code":"US","phone":"2157859200","fax":"2157859039"},{"purpose":"MAILING","street_1":"501 BATH RD","city":"BRISTOL","state":"PA","postal_code":"190073101","country_code":"US","phone":"2157859200","fax":"2157859039"}],"license":{"state":"PA","number":"MD03172L"},"identifiers":[{"type_code":"01","label":"Other","value":"0023022000","state":"PA","issuer":"IBC"},{"type_code":"01","label":"Other","value":"34005B","state":"PA","issuer":"KEYSTONE MERCY"},{"type_code":"05","label":"Medicaid","value":"000953068 0003","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"141292","state":"PA","issuer":"HIGHMARK BLUE SHIELD"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-06","last_updated":"2008-02-25","_meta":{"source":"NPPES","snapshot_date":"2008-02-25","doc_url":"https://findmynpi.com/api"}}