{"npi":"1528067014","type":"NPI-1","status":"active","name":{"display":"Mark Moniz MD","other":[],"first":"MARK","last":"MONIZ","middle":"PHILLIP","credential":"MD"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"VA","license":"0101058407"}]},"addresses":[{"purpose":"LOCATION","street_1":"120 KINGS WAY STE 2600","city":"WILLIAMSBURG","state":"VA","postal_code":"231852554","country_code":"US","phone":"7573450141","fax":"7572061291"},{"purpose":"MAILING","street_1":"856 J CLYDE MORRIS BLVD STE A","city":"NEWPORT NEWS","state":"VA","postal_code":"236011318","country_code":"US","phone":"7573165800","fax":"7575345190"}],"license":{"state":"VA","number":"0101058407"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"007311885","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070418000452","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"VA","pac_id":"1658476759"}]},"enumeration_date":"2005-07-18","last_updated":"2021-11-03","_meta":{"source":"NPPES","snapshot_date":"2021-11-03","doc_url":"https://findmynpi.com/api"}}