{"npi":"1407964695","type":"NPI-1","status":"active","name":{"display":"Justin Zack MD","other":[],"first":"JUSTIN","last":"ZACK","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0204X","primary_taxonomy_description":"Vascular & Interventional Radiology Physician","slug":"vascular-interventional-radiology-physician","schema_org_specialty":null,"all":[{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":true,"state":"NY","license":"209465"}]},"addresses":[{"purpose":"LOCATION","street_1":"1333 ROANOKE AVE","city":"RIVERHEAD","state":"NY","postal_code":"11901","country_code":"US","phone":"6317272755","fax":"6312089521"},{"purpose":"MAILING","street_1":"1333 ROANOKE AVE","city":"RIVERHEAD","state":"NY","postal_code":"11901","country_code":"US","phone":"6317272755","fax":"6312089521"}],"license":{"state":"NY","number":"209465"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02206999","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"CF3402","state":"NY","issuer":"RR MEDICARE"},{"type_code":"01","label":"Other","value":"W11401","state":"NY","issuer":"BC/BS"},{"type_code":"01","label":"Other","value":"W22111","state":"NY","issuer":"MEDICARE GROUP SHR"},{"type_code":"01","label":"Other","value":"WEU091","state":"NY","issuer":"MEDICARE GROUP HR"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040903001045","type_code":"14-94","type_desc":"PRACTITIONER - INTERVENTIONAL RADIOLOGY","state":"NY","pac_id":"9436125002"}]},"enumeration_date":"2006-08-28","last_updated":"2008-05-16","_meta":{"source":"NPPES","snapshot_date":"2008-05-16","doc_url":"https://findmynpi.com/api"}}