{"npi":"1619605722","type":"NPI-1","status":"active","name":{"display":"Mackenzy Kassab PA-C","other":[],"first":"MACKENZY","last":"KASSAB","middle":"LEE","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"MI","license":"5601011399"}]},"addresses":[{"purpose":"LOCATION","street_1":"31393 W 13 MILE RD STE 105","city":"FARMINGTON HILLS","state":"MI","postal_code":"483342232","country_code":"US","phone":"7343316037"},{"purpose":"MAILING","street_1":"4421 FOREST HILL DR","city":"COMMERCE TOWNSHIP","state":"MI","postal_code":"483821591","country_code":"US","phone":"2484123120"}],"license":{"state":"MI","number":"5601011399"},"identifiers":[{"type_code":"01","label":"Other","value":"5601011399","state":"MI","issuer":"MI PHYSICIAN ASSISTANT LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20221227001989","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MI","pac_id":"4486024981"}]},"enumeration_date":"2022-08-08","last_updated":"2025-03-26","_meta":{"source":"NPPES","snapshot_date":"2025-03-26","doc_url":"https://findmynpi.com/api"}}