{"npi":"1295227387","type":"NPI-2","status":"active","name":{"display":"Back To Health Medical Care PC","other":[],"organization_name":"BACK TO HEALTH MEDICAL CARE PC","authorised_official":"Darron Yelling"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"NY","license":"26448"}]},"addresses":[{"purpose":"LOCATION","street_1":"690 BROADWAY STE 100","city":"MASSAPEQUA","state":"NY","postal_code":"117582371","country_code":"US","phone":"5163087540"},{"purpose":"MAILING","street_1":"690 BROADWAY STE 100","city":"MASSAPEQUA","state":"NY","postal_code":"117582371","country_code":"US","phone":"9179928049"}],"license":{"state":"NY","number":"26448"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20190201000168","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"9335486190"}]},"enumeration_date":"2018-06-04","last_updated":"2024-09-06","_meta":{"source":"NPPES","snapshot_date":"2024-09-06","doc_url":"https://findmynpi.com/api"}}