{"npi":"1265628580","type":"NPI-1","status":"active","name":{"display":"Mary Rosen PA","other":[],"first":"MARY","last":"ROSEN","middle":"HEATHER","credential":"PA"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"NY","license":"11923"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NY","license":"011923"}]},"addresses":[{"purpose":"LOCATION","street_1":"76 N MAIN STREET","city":"WARSAW","state":"NY","postal_code":"14569","country_code":"US","phone":"5857863503","fax":"5857863505"},{"purpose":"MAILING","street_1":"76 N MAIN ST","city":"WARSAW","state":"NY","postal_code":"145691329","country_code":"US","phone":"5857863503","fax":"5857863505"}],"license":{"state":"NY","number":"011923"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02939646","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20071204000550","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NY","pac_id":"7810086469"}]},"enumeration_date":"2007-09-20","last_updated":"2023-06-29","_meta":{"source":"NPPES","snapshot_date":"2023-06-29","doc_url":"https://findmynpi.com/api"}}