{"npi":"1922506294","type":"NPI-1","status":"active","name":{"display":"Mr. Samiul Islam PA-C","other":[],"first":"SAMIUL","last":"ISLAM","middle":"J","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NM","license":"PA2018-0027"}]},"addresses":[{"purpose":"LOCATION","street_1":"3101 MENAUL BLVD NE STE B","city":"ALBUQUERQUE","state":"NM","postal_code":"871071872","country_code":"US","phone":"5058425151"},{"purpose":"MAILING","street_1":"3101 MENAUL BLVD NE STE B","city":"ALBUQUERQUE","state":"NM","postal_code":"871071872","country_code":"US","phone":"5058425151"}],"license":{"state":"NM","number":"PA2018-0027"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"44984227","state":"NM","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180723001000","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NM","pac_id":"0446507438"}]},"enumeration_date":"2018-01-31","last_updated":"2022-11-18","_meta":{"source":"NPPES","snapshot_date":"2022-11-18","doc_url":"https://findmynpi.com/api"}}