{"npi":"1396913489","type":"NPI-2","status":"active","name":{"display":"Helendale Dermatology & Medical Spa, PLLC","other":[],"organization_name":"HELENDALE DERMATOLOGY & MEDICAL SPA, PLLC","authorised_official":"Elizabeth Arthur"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"NY","license":"199172"}]},"addresses":[{"purpose":"LOCATION","street_1":"500 HELENDALE RD STE 100","city":"ROCHESTER","state":"NY","postal_code":"146093109","country_code":"US","phone":"5852665420","fax":"5852665423"},{"purpose":"MAILING","street_1":"500 HELENDALE RD STE 100","city":"ROCHESTER","state":"NY","postal_code":"146093109","country_code":"US","phone":"5852665420","fax":"5852665423"}],"license":{"state":"NY","number":"199172"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1346219953","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040823000983","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"6901870294"}]},"enumeration_date":"2008-02-12","last_updated":"2022-03-28","_meta":{"source":"NPPES","snapshot_date":"2022-03-28","doc_url":"https://findmynpi.com/api"}}