{"npi":"1790766970","type":"NPI-1","status":"active","name":{"display":"Dr. Roman Koldayev M.D.","other":[],"first":"ROMAN","last":"KOLDAYEV","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NY","license":"206990"}]},"addresses":[{"purpose":"LOCATION","street_1":"215 ROCKAWAY TPKE","city":"LAWRENCE","state":"NY","postal_code":"115591216","country_code":"US","phone":"5163745024","fax":"5163745816"},{"purpose":"MAILING","street_1":"215 ROCKAWAY TPKE","city":"LAWRENCE","state":"NY","postal_code":"115591216","country_code":"US","phone":"5163745024","fax":"5163745816"}],"license":{"state":"NY","number":"206990"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"01782470","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040717000168","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NY","pac_id":"2264411719"}]},"enumeration_date":"2005-11-07","last_updated":"2012-03-19","_meta":{"source":"NPPES","snapshot_date":"2012-03-19","doc_url":"https://findmynpi.com/api"}}