{"npi":"1669479010","type":"NPI-1","status":"active","name":{"display":"Robert Nissan M.D.","other":[],"first":"ROBERT","last":"NISSAN","middle":"S","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"NY","license":"131824"}]},"addresses":[{"purpose":"LOCATION","street_1":"325 MAIN ST","city":"NORTHPORT","state":"NY","postal_code":"117681790","country_code":"US","phone":"6312614445","fax":"6312613710"},{"purpose":"MAILING","street_1":"325 MAIN ST","city":"NORTHPORT","state":"NY","postal_code":"117681790","country_code":"US","phone":"6312614445","fax":"6312613710"}],"license":{"state":"NY","number":"131824"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00590001","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"24A921","state":"NY","issuer":"MEDICARE LEGACY"},{"type_code":"01","label":"Other","value":"1C2496","state":null,"issuer":"HEALTHNET"},{"type_code":"01","label":"Other","value":"0520035","state":null,"issuer":"AETNA"},{"type_code":"01","label":"Other","value":"442081060","state":"NY","issuer":"MEDICARE RAILROAD PTAN"},{"type_code":"01","label":"Other","value":"CP521","state":null,"issuer":"OXFORD"},{"type_code":"01","label":"Other","value":"0065892","state":null,"issuer":"GHI"},{"type_code":"01","label":"Other","value":"24A921","state":"NY","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"10263","state":null,"issuer":"VYTRA"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-06-30","last_updated":"2010-03-24","_meta":{"source":"NPPES","snapshot_date":"2010-03-24","doc_url":"https://findmynpi.com/api"}}