{"npi":"1285656777","type":"NPI-2","status":"active","name":{"display":"Northwest Dermatolgy Group, PC","other":[],"organization_name":"NORTHWEST DERMATOLGY GROUP, PC","authorised_official":"Emily Levin"},"specialty":{"primary_taxonomy":"207ND0101X","primary_taxonomy_description":"Dermatology, Mohs Surgery","slug":"dermatology-mohs-surgery","schema_org_specialty":"Dermatologic","all":[{"code":"207ND0101X","description":"Dermatology, Mohs Surgery","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"29355 NORTHWESTERN HWY","city":"SOUTHFIELD","state":"MI","postal_code":"48034","country_code":"US","street_2":"#200","phone":"2483530880"},{"purpose":"MAILING","street_1":"29355 NORTHWESTERN HWY","city":"SOUTHFIELD","state":"MI","postal_code":"480341053","country_code":"US","street_2":"#200","phone":"2483530880"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040604000608","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MI","pac_id":"5799767596"}]},"enumeration_date":"2006-07-24","last_updated":"2018-07-27","_meta":{"source":"NPPES","snapshot_date":"2018-07-27","doc_url":"https://findmynpi.com/api"}}