{"npi":"1336145200","type":"NPI-2","status":"active","name":{"display":"Northeast Nephrology PA","other":[],"organization_name":"NORTHEAST NEPHROLOGY PA","authorised_official":"Stephen Comeau"},"specialty":{"primary_taxonomy":"207RN0300X","primary_taxonomy_description":"Nephrology Physician","slug":"nephrology-physician","schema_org_specialty":null,"all":[{"code":"207RN0300X","description":"Nephrology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"417 STATE ST","city":"BANGOR","state":"ME","postal_code":"044016638","country_code":"US","street_2":"STE 321","phone":"2079738833","fax":"2079738836"},{"purpose":"MAILING","street_1":"417 STATE ST","city":"BANGOR","state":"ME","postal_code":"044016638","country_code":"US","street_2":"STE 321","phone":"2079738833","fax":"2079738836"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"132020000","state":"ME","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050923000209","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"ME","pac_id":"4981638434"}]},"enumeration_date":"2005-06-24","last_updated":"2010-05-04","_meta":{"source":"NPPES","snapshot_date":"2010-05-04","doc_url":"https://findmynpi.com/api"}}