{"npi":"1629047675","type":"NPI-1","status":"active","name":{"display":"Dr. Susan Wisniewski MD","other":[],"first":"SUSAN","last":"WISNIEWSKI","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NY","license":"222866"}]},"addresses":[{"purpose":"LOCATION","street_1":"1110 SOUTH AVE","city":"STATEN ISLAND","state":"NY","postal_code":"103143403","country_code":"US","street_2":"SUITE 306","phone":"7183707100","fax":"7183707141"},{"purpose":"MAILING","street_1":"1110 SOUTH AVE","city":"STATEN ISLAND","state":"NY","postal_code":"103143403","country_code":"US","street_2":"SUITE 306","phone":"7183707100","fax":"7183707141"}],"license":{"state":"NY","number":"222866"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02593328","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20031103000415","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NY","pac_id":"5799697322"}]},"enumeration_date":"2006-03-14","last_updated":"2008-12-01","_meta":{"source":"NPPES","snapshot_date":"2008-12-01","doc_url":"https://findmynpi.com/api"}}