{"npi":"1609024462","type":"NPI-2","status":"active","name":{"display":"Pediatric Plastic Surgery Of The University Of Rochester","other":[],"organization_name":"PEDIATRIC PLASTIC SURGERY OF THE UNIVERSITY OF ROCHESTER","authorised_official":"Jill Hetterich"},"specialty":{"primary_taxonomy":"2086S0122X","primary_taxonomy_description":"Plastic and Reconstructive Surgery Physician","slug":"plastic-and-reconstructive-surgery-physician","schema_org_specialty":null,"all":[{"code":"2086S0122X","description":"Plastic and Reconstructive Surgery Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"601 ELMWOOD AVE","city":"ROCHESTER","state":"NY","postal_code":"146420001","country_code":"US","phone":"5857587671"},{"purpose":"MAILING","street_1":"601 ELMWOOD AVE BOX 635","city":"ROCHESTER","state":"NY","postal_code":"146420001","country_code":"US","phone":"5857849749"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"03071987","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20081230000420","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"5294897104"}]},"enumeration_date":"2008-09-05","last_updated":"2022-08-09","_meta":{"source":"NPPES","snapshot_date":"2022-08-09","doc_url":"https://findmynpi.com/api"}}