{"npi":"1336189786","type":"NPI-1","status":"active","name":{"display":"Dr. Theresa Impeduglia M.D.","other":[],"first":"THERESA","last":"IMPEDUGLIA","middle":"MARIE","credential":"M.D."},"specialty":{"primary_taxonomy":"2086S0129X","primary_taxonomy_description":"Vascular Surgery Physician","slug":"vascular-surgery-physician","schema_org_specialty":null,"all":[{"code":"2086S0129X","description":"Vascular Surgery Physician","primary":false,"state":"NY","license":"195134"},{"code":"2086S0129X","description":"Vascular Surgery Physician","primary":true,"state":"NJ","license":"MA72668"}]},"addresses":[{"purpose":"LOCATION","street_1":"83 SUMMIT AVE","city":"HACKENSACK","state":"NJ","postal_code":"076011262","country_code":"US","phone":"2016460010","fax":"2016460600"},{"purpose":"MAILING","street_1":"83 SUMMIT AVE","city":"HACKENSACK","state":"NJ","postal_code":"076011262","country_code":"US","phone":"2016460010","fax":"2016460600"}],"license":{"state":"NJ","number":"MA72668"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"03817627","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050224000204","type_code":"14-77","type_desc":"PRACTITIONER - VASCULAR SURGERY","state":"NJ","pac_id":"6800849373"}]},"enumeration_date":"2006-06-07","last_updated":"2017-09-28","_meta":{"source":"NPPES","snapshot_date":"2017-09-28","doc_url":"https://findmynpi.com/api"}}