{"npi":"1457747453","type":"NPI-2","status":"active","name":{"display":"Montauk Dialysis LLC","other":[],"organization_name":"MONTAUK DIALYSIS LLC","authorised_official":"Samuel Wey"},"specialty":{"primary_taxonomy":"261QE0700X","primary_taxonomy_description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","slug":"end-stage-renal-disease-esrd-treatment-clinic-center","schema_org_specialty":null,"all":[{"code":"261QE0700X","description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"719 BUNNY TRAIL","city":"SUN PRAIRIE","state":"WI","postal_code":"535900000","country_code":"US","phone":"6088256556","fax":"6088252886"},{"purpose":"MAILING","street_1":"5200 VIRGINIA WAY","city":"BRENTWOOD","state":"TN","postal_code":"370277569","country_code":"US","street_2":"L&C DEPT"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150422000945","type_code":"00-03","type_desc":"PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)","state":"WI","pac_id":"6709104805"}]},"enumeration_date":"2015-04-07","last_updated":"2024-06-25","_meta":{"source":"NPPES","snapshot_date":"2024-06-25","doc_url":"https://findmynpi.com/api"}}