{"npi":"1699080655","type":"NPI-1","status":"active","name":{"display":"Ms. Jency Samuel NP","other":[{"code":"1","type":"Formerly known as","value":"THOMAS, JENCY JOHN"}],"first":"JENCY","last":"SAMUEL","middle":"THOMAS","credential":"NP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"NY","license":"337923"}]},"addresses":[{"purpose":"LOCATION","street_1":"2125 RIVER RD STE 103","city":"SCHENECTADY","state":"NY","postal_code":"123091108","country_code":"US","phone":"5183827500","fax":"5183827572"},{"purpose":"MAILING","street_1":"6 WELLNESS WAY STE 201","city":"LATHAM","state":"NY","postal_code":"121102156","country_code":"US","phone":"5187823700","fax":"5187823799"}],"license":{"state":"NY","number":"337923"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"03600319","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130823001094","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NY","pac_id":"5991948861"}]},"enumeration_date":"2010-08-16","last_updated":"2024-10-10","_meta":{"source":"NPPES","snapshot_date":"2024-10-10","doc_url":"https://findmynpi.com/api"}}