{"npi":"1477536068","type":"NPI-1","status":"active","name":{"display":"Kenneth Bloom M.D.","other":[],"first":"KENNETH","last":"BLOOM","middle":"EDWARD","credential":"M.D."},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"NY","license":"169466"}]},"addresses":[{"purpose":"LOCATION","street_1":"1455 WEST AVE","city":"BRONX","state":"NY","postal_code":"104627304","country_code":"US","phone":"7182391500","fax":"2127653210"},{"purpose":"MAILING","street_1":"200 CENTRAL PARK S APT 107","city":"NEW YORK","state":"NY","postal_code":"100191449","country_code":"US","phone":"2122622500","fax":"2127653210"}],"license":{"state":"NY","number":"169466"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"04134401","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150609001213","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"NY","pac_id":"2163429457"}]},"enumeration_date":"2005-11-28","last_updated":"2019-08-22","_meta":{"source":"NPPES","snapshot_date":"2019-08-22","doc_url":"https://findmynpi.com/api"}}