{"npi":"1679340830","type":"NPI-1","status":"active","name":{"display":"Lauren Russo","other":[],"first":"LAUREN","last":"RUSSO"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"505 GRAND BLVD STE 1","city":"DEER PARK","state":"NY","postal_code":"117295300","country_code":"US","phone":"6312431313"},{"purpose":"MAILING","street_1":"17 BLACK GUM TREE LN","city":"KINGS PARK","state":"NY","postal_code":"117541746","country_code":"US","phone":"6316262693"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240102003361","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NY","pac_id":"1355791443"}]},"enumeration_date":"2023-12-07","last_updated":"2023-12-07","_meta":{"source":"NPPES","snapshot_date":"2023-12-07","doc_url":"https://findmynpi.com/api"}}