Organization Active NPI

Michael S. Goldman DO PA

  • Physical Medicine & Rehabilitation Physician
  • Boca Raton, FL
National Provider Identifier
1033481601
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS3831 Issued in FL
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2603900-00MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.