Organization Active NPI

Allen Goldstein MD PC

  • Otolaryngology Physician
  • Forest Hills, NY
National Provider Identifier
1073787628
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ALLEN GOLDSTEIN MD PC
Practice address
110-20 73Rd Rd
2J
Forest Hills, NY 11375-6308
Phone
(718) 793-6161
Fax
(718) 544-6121
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Allen Goldstein, MD
Title
President
Phone
(718) 793-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

110-20 73Rd Rd
2J
Forest Hills, NY 11375-6308

Mailing address

13716 72ND Rd
Flushing, NY 11367-2393
Phone (718) 793-6161

Other identifiers 1

IdentifierTypeStateIssuer
00169617MedicaidNY

National Provider Directory

National Provider Directory

Locations

11020 73rd Rd
Ste 2J
Forest Hills, NY 11375
Phone (718) 793-6161

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1073787628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13716 72ND RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672393",
            "telephone_number": "718-793-6161",
            "fax_number": "718-544-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110-20 73RD RD",
            "address_2": "2J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756308",
            "telephone_number": "718-793-6161",
            "fax_number": "718-544-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN GOLDSTEIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-793-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00169617",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.