{"npi":"1922519271","type":"NPI-1","status":"active","name":{"display":"Traci Blake PA","other":[],"first":"TRACI","last":"BLAKE","credential":"PA"},"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":"NY","license":"021388"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NJ","license":"25MP00449500"}]},"addresses":[{"purpose":"LOCATION","street_1":"401 S VAN BRUNT ST STE 3","city":"ENGLEWOOD","state":"NJ","postal_code":"076314600","country_code":"US","phone":"2015692770","fax":"2015691774"},{"purpose":"MAILING","street_1":"401 S VAN BRUNT ST STE 3","city":"ENGLEWOOD","state":"NJ","postal_code":"076314600","country_code":"US","phone":"2015692770","fax":"2015691774"}],"license":{"state":"NJ","number":"25MP00449500"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171120003275","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NJ","pac_id":"5395002745"}]},"enumeration_date":"2017-10-13","last_updated":"2022-07-18","_meta":{"source":"NPPES","snapshot_date":"2022-07-18","doc_url":"https://findmynpi.com/api"}}