{"npi":"1912220666","type":"NPI-1","status":"active","name":{"display":"Dr. Michael Goldman M.D.","other":[],"first":"MICHAEL","last":"GOLDMAN","middle":"M","credential":"M.D."},"specialty":{"primary_taxonomy":"207RN0300X","primary_taxonomy_description":"Nephrology Physician","slug":"nephrology-physician","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"NY","license":"260759"},{"code":"207RN0300X","description":"Nephrology Physician","primary":true,"state":"NY","license":"260759"}]},"addresses":[{"purpose":"LOCATION","street_1":"12046 QUEENS BLVD","city":"KEW GARDENS","state":"NY","postal_code":"114151204","country_code":"US","phone":"7187933341","fax":"7182681666"},{"purpose":"MAILING","street_1":"97 NEW DORP LN STE A","city":"STATEN ISLAND","state":"NY","postal_code":"103062364","country_code":"US","phone":"7188766220","fax":"7188765969"}],"license":{"state":"NY","number":"260759"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"03331142","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110609000137","type_code":"14-39","type_desc":"PRACTITIONER - NEPHROLOGY","state":"NY","pac_id":"8729265277"}]},"enumeration_date":"2010-03-09","last_updated":"2024-12-05","_meta":{"source":"NPPES","snapshot_date":"2024-12-05","doc_url":"https://findmynpi.com/api"}}