{"npi":"1720264252","type":"NPI-2","status":"active","name":{"display":"Theodore Randolph, DPM","other":[],"organization_name":"THEODORE RANDOLPH,DPM","authorised_official":"Theodore Randolph"},"specialty":{"primary_taxonomy":"213ES0103X","primary_taxonomy_description":"Foot & Ankle Surgery Podiatrist","slug":"foot-ankle-surgery-podiatrist","schema_org_specialty":null,"all":[{"code":"213ES0103X","description":"Foot & Ankle Surgery Podiatrist","primary":true,"state":"NY","license":"003646"}]},"addresses":[{"purpose":"LOCATION","street_1":"3 MEDICAL DR","city":"PORT JEFFERSON STATION","state":"NY","postal_code":"117761597","country_code":"US","street_2":"SUITE C","phone":"6319287785","fax":"6319280316"},{"purpose":"MAILING","street_1":"3 MEDICAL DR","city":"PORT JEFFERSON STATION","state":"NY","postal_code":"117761597","country_code":"US","street_2":"SUITE C","phone":"6319287785","fax":"6319280316"}],"license":{"state":"NY","number":"003646"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"791048","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-01-15","last_updated":"2008-01-16","_meta":{"source":"NPPES","snapshot_date":"2008-01-16","doc_url":"https://findmynpi.com/api"}}