Active NPI
Michael S. Goldman DO PA
- Physical Medicine & Rehabilitation Physician
- Boca Raton, FL
National Provider Identifier
1033481601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS3831
- Legal business name
- MICHAEL S. GOLDMAN DO PA
- Practice address
- 17714 Lomond CT
Boca Raton, FL 33496-1032 - Phone
- (561) 756-1469
- NPI assigned
- Jan 30, 2012
- Last updated
- Feb 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Samuel Goldman, D.O.
- Title
- President
- Phone
- (561) 756-1469
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS3831 | FL | Primary |
Addresses
Primary practice location
17714 Lomond CT
Boca Raton, FL 33496-1032
Mailing address
17714 Lomond CT
Boca Raton, FL 33496-1032
Phone (561) 756-1469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2603900-00 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Boca Raton, FL
- NPI 1053594432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329436800000",
"number": "1033481601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17714 LOMOND CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961032",
"telephone_number": "561-756-1469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17714 LOMOND CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961032",
"telephone_number": "561-756-1469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL S. GOLDMAN DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-30",
"last_updated": "2012-02-17",
"status": "A",
"authorized_official_last_name": "GOLDMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "SAMUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-756-1469",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "OS3831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2603900-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.