{"npi":"1699397083","type":"NPI-2","status":"active","name":{"display":"Baljinder K Grewal MD PLLC","other":[],"organization_name":"BALJINDER K GREWAL MD PLLC","authorised_official":"Baljinder Grewal"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"54 HEATHER LN","city":"LEVITTOWN","state":"NY","postal_code":"117563334","country_code":"US","phone":"5167351116"},{"purpose":"MAILING","street_1":"54 HEATHER LN","city":"LEVITTOWN","state":"NY","postal_code":"117563334","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"03761199","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200617001309","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"4587086723"}]},"enumeration_date":"2020-05-08","last_updated":"2020-05-08","_meta":{"source":"NPPES","snapshot_date":"2020-05-08","doc_url":"https://findmynpi.com/api"}}