{"npi":"1679574164","type":"NPI-2","status":"active","name":{"display":"N Fred Eaglstein DO PA","other":[],"organization_name":"N FRED EAGLSTEIN DO PA","authorised_official":"N Eaglstein"},"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":"2055 PROFESSIONAL CENTER DR","city":"ORANGE PARK","state":"FL","postal_code":"320734461","country_code":"US","phone":"9042764500","fax":"9042764160"},{"purpose":"MAILING","street_1":"2055 PROFESSIONAL CENTER DR","city":"ORANGE PARK","state":"FL","postal_code":"320734461","country_code":"US","phone":"9042764500","fax":"9042764160"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"043624100","state":"FL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-08-09","last_updated":"2008-06-10","_meta":{"source":"NPPES","snapshot_date":"2008-06-10","doc_url":"https://findmynpi.com/api"}}