{"npi":"1689656654","type":"NPI-1","status":"active","name":{"display":"Michael Eidelman MD","other":[],"first":"MICHAEL","last":"EIDELMAN","credential":"MD"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"NY","license":"209980"}]},"addresses":[{"purpose":"LOCATION","street_1":"245 W 19TH ST","city":"NEW YORK","state":"NY","postal_code":"100114072","country_code":"US","street_2":"GROUND FL","phone":"2126750549","fax":"2126750540"},{"purpose":"MAILING","street_1":"245 W 19TH ST","city":"NEW YORK","state":"NY","postal_code":"100114072","country_code":"US","street_2":"GROUND FL","phone":"2126750549","fax":"2126750540"}],"license":{"state":"NY","number":"209980"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"01998356","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080702000384","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"NY","pac_id":"6507938859"}]},"enumeration_date":"2005-11-16","last_updated":"2011-03-17","_meta":{"source":"NPPES","snapshot_date":"2011-03-17","doc_url":"https://findmynpi.com/api"}}