{"npi":"1477522514","type":"NPI-1","status":"active","name":{"display":"Jonathan Broder M.D.","other":[],"first":"JONATHAN","last":"BRODER","middle":"D","credential":"M.D."},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"NY","license":"216942"},{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":false,"state":"NY","license":"216942"}]},"addresses":[{"purpose":"LOCATION","street_1":"1425 PORTLAND AVE","city":"ROCHESTER","state":"NY","postal_code":"146213001","country_code":"US","phone":"5859223220","fax":"5859223518"},{"purpose":"MAILING","street_1":"1425 PORTLAND AVE","city":"ROCHESTER","state":"NY","postal_code":"146213001","country_code":"US","phone":"5859223220","fax":"5859223518"}],"license":{"state":"NY","number":"216942"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02057129","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101014000758","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"NY","pac_id":"9537056924"}]},"enumeration_date":"2006-03-14","last_updated":"2014-04-30","_meta":{"source":"NPPES","snapshot_date":"2014-04-30","doc_url":"https://findmynpi.com/api"}}