{"npi":"1508947342","type":"NPI-2","status":"active","name":{"display":"Peninsula Cancer Institute, LLC","other":[],"organization_name":"PENINSULA CANCER INSTITUTE, LLC","authorised_official":"Braden Miller"},"specialty":{"primary_taxonomy":"207RH0003X","primary_taxonomy_description":"Hematology & Oncology","slug":"hematology-oncology","schema_org_specialty":"Oncologic","all":[{"code":"174400000X","description":"Specialist","primary":false,"state":"VA","license":"0101043974"},{"code":"207RH0003X","description":"Hematology & Oncology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"12100 WARWICK BLVD.","city":"NEWPORT NEWS","state":"VA","postal_code":"236012365","country_code":"US","street_2":"SUITE 201","phone":"7575345555","fax":"7575345569"},{"purpose":"MAILING","street_1":"856 J CLYDE MORRIS BLVD STE A","city":"NEWPORT NEWS","state":"VA","postal_code":"236011318","country_code":"US","phone":"7575944006","fax":"7575345190"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0101047727","state":"VA","issuer":null},{"type_code":"05","label":"Medicaid","value":"010125626","state":"VA","issuer":null},{"type_code":"05","label":"Medicaid","value":"010162338","state":"VA","issuer":null},{"type_code":"05","label":"Medicaid","value":"010202761","state":"VA","issuer":null},{"type_code":"05","label":"Medicaid","value":"010228484","state":"VA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-10-18","last_updated":"2026-04-28","_meta":{"source":"NPPES","snapshot_date":"2026-04-28","doc_url":"https://findmynpi.com/api"}}