{"npi":"1982154589","type":"NPI-1","status":"active","name":{"display":"Rachael Detore","other":[],"first":"RACHAEL","last":"DETORE","middle":"THERESA"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NJ","license":"25MP00878300"},{"code":"2255A2300X","description":"Athletic Trainer","primary":false,"state":null,"license":null},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"342 HAMBURG TPKE STE 202","city":"WAYNE","state":"NJ","postal_code":"074702166","country_code":"US","phone":"9738700777"},{"purpose":"MAILING","street_1":"10 WYCKOFF CT","city":"ASBURY","state":"NJ","postal_code":"088021091","country_code":"US","phone":"9085379794"}],"license":{"state":"NJ","number":"25MP00878300"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241101002119","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NJ","pac_id":"6709319445"}]},"enumeration_date":"2016-10-06","last_updated":"2024-10-25","_meta":{"source":"NPPES","snapshot_date":"2024-10-25","doc_url":"https://findmynpi.com/api"}}