{"npi":"1366438475","type":"NPI-1","status":"active","name":{"display":"Dr. Simon Spivack M.D.","other":[],"first":"SIMON","last":"SPIVACK","middle":"DANIEL","credential":"M.D."},"specialty":{"primary_taxonomy":"207RP1001X","primary_taxonomy_description":"Pulmonary Disease Physician","slug":"pulmonary-disease-physician","schema_org_specialty":null,"all":[{"code":"207RC0200X","description":"Critical Care Medicine (Internal Medicine) Physician","primary":false,"state":"NY","license":"189782-1"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":true,"state":"NY","license":"189782-1"}]},"addresses":[{"purpose":"LOCATION","street_1":"1300 MORRIS PARK AVE","city":"BRONX","state":"NY","postal_code":"104611900","country_code":"US","street_2":"PULMONARY MEDICINE","phone":"7184302591","fax":"7184308563"},{"purpose":"MAILING","street_1":"1300 MORRIS PARK AVE","city":"BRONX","state":"NY","postal_code":"104611900","country_code":"US","street_2":"PULMONARY MEDICINE","phone":"7184302591","fax":"7184308563"}],"license":{"state":"NY","number":"189782-1"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"01269763","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20071011000431","type_code":"14-29","type_desc":"PRACTITIONER - PULMONARY DISEASE","state":"NY","pac_id":"1456447119"}]},"enumeration_date":"2005-09-23","last_updated":"2007-08-23","_meta":{"source":"NPPES","snapshot_date":"2007-08-23","doc_url":"https://findmynpi.com/api"}}