{"npi":"1891720272","type":"NPI-1","status":"active","name":{"display":"Corey Weiner MD","other":[],"first":"COREY","last":"WEINER","middle":"J","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":"NJ","license":"MA46748"},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"NY","license":"239107"}]},"addresses":[{"purpose":"LOCATION","street_1":"545 ELMONT RD","city":"ELMONT","state":"NY","postal_code":"110034002","country_code":"US","phone":"5164957129","fax":"5169772874"},{"purpose":"MAILING","street_1":"545 ELMONT RD","city":"ELMONT","state":"NY","postal_code":"110034002","country_code":"US","phone":"5164957129","fax":"5169772874"}],"license":{"state":"NY","number":"239107"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"05219906","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110414000917","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"NY","pac_id":"6406757947"}]},"enumeration_date":"2006-07-12","last_updated":"2017-04-25","_meta":{"source":"NPPES","snapshot_date":"2017-04-25","doc_url":"https://findmynpi.com/api"}}