{"npi":"1376679639","type":"NPI-1","status":"active","name":{"display":"Victor Hartanto MD","other":[],"first":"VICTOR","last":"HARTANTO","credential":"MD"},"specialty":{"primary_taxonomy":"208800000X","primary_taxonomy_description":"Urology Physician","slug":"urology-physician","schema_org_specialty":null,"all":[{"code":"208800000X","description":"Urology Physician","primary":true,"state":"NJ","license":"MA068689"}]},"addresses":[{"purpose":"LOCATION","street_1":"4 GODWIN AVENUE","city":"MIDLAND PARK","state":"NJ","postal_code":"07432","country_code":"US","phone":"2014447070","fax":"2014447228"},{"purpose":"MAILING","street_1":"4 GODWIN AVENUE","city":"MIDLAND PARK","state":"NJ","postal_code":"07432","country_code":"US","phone":"2014447070","fax":"2014447228"}],"license":{"state":"NJ","number":"MA068689"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0104850","state":"NJ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101020000099","type_code":"14-34","type_desc":"PRACTITIONER - UROLOGY","state":"NJ","pac_id":"8820281173"}]},"enumeration_date":"2007-02-23","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}