{"npi":"1669633814","type":"NPI-2","status":"active","name":{"display":"King-Maceyko Dermatology Assoc Ltd","other":[],"organization_name":"KING-MACEYKO DERMATOLOGY ASSOC LTD","authorised_official":"Sandra King"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"223 S PLEASANT AVE","city":"SOMERSET","state":"PA","postal_code":"15501","country_code":"US","street_2":"SUITE 101","phone":"8144436918","fax":"8145393927"},{"purpose":"MAILING","street_1":"350 SOUTHMONT BLVD","city":"JOHNSTOWN","state":"PA","postal_code":"159054330","country_code":"US","phone":"8145367045","fax":"8145393927"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"721126","state":"PA","issuer":"BLUE SHIELD MEDICARE GROUP NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-06-20","last_updated":"2008-06-20","_meta":{"source":"NPPES","snapshot_date":"2008-06-20","doc_url":"https://findmynpi.com/api"}}