{"npi":"1972982007","type":"NPI-2","status":"active","name":{"display":"Charles Evans Center, Inc.","other":[],"organization_name":"CHARLES EVANS CENTER, INC.","authorised_official":"Robert Goldsmith"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":"NY","license":"2950212R"}]},"addresses":[{"purpose":"LOCATION","street_1":"857 S OYSTER BAY RD","city":"BETHPAGE","state":"NY","postal_code":"117141030","country_code":"US","phone":"5166228888","fax":"5163422480"},{"purpose":"MAILING","street_1":"857 S OYSTER BAY RD","city":"BETHPAGE","state":"NY","postal_code":"117141030","country_code":"US","phone":"5166228888","fax":"5163422480"}],"license":{"state":"NY","number":"2950212R"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150803000284","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"NY","pac_id":"1759695992"},{"enrlmt_id":"O20160427000454","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"1759695992"},{"enrlmt_id":"O20200316001887","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"NY","pac_id":"1759695992"}]},"enumeration_date":"2015-05-21","last_updated":"2015-05-21","_meta":{"source":"NPPES","snapshot_date":"2015-05-21","doc_url":"https://findmynpi.com/api"}}