{"npi":"1285680389","type":"NPI-2","status":"active","name":{"display":"Nycdohmh Hillside Avenue Health Center","other":[],"organization_name":"NYCDOHMH HILLSIDE AVENUE HEALTH CENTER","authorised_official":"Michael Smook"},"specialty":{"primary_taxonomy":"261QC1500X","primary_taxonomy_description":"Community Health Clinic/Center","slug":"community-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QC1500X","description":"Community Health Clinic/Center","primary":true,"state":"NY","license":"7002112R5621"}]},"addresses":[{"purpose":"LOCATION","street_1":"164 21 HILLSIDE AVENUE","city":"JAMAICA","state":"NY","postal_code":"114324140","country_code":"US","street_2":"NYCDOHMH HILLSIDE AVENUE HEALTH CENTER","phone":"7186762259","fax":"7182628885"},{"purpose":"MAILING","street_1":"PO BOX 74","city":"NEW YORK","state":"NY","postal_code":"100134006","country_code":"US","street_2":"125 WORTH STREET RM 901","phone":"2124428468","fax":"2124428452"}],"license":{"state":"NY","number":"7002112R5621"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00247549","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-05-26","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}