Organization Active NPI

Valley Cardiovascular Associates, P.C.

  • Cardiovascular Disease Physician
  • Middletown, NY
National Provider Identifier
1083783559
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1312971 Issued in NY
Legal business name
VALLEY CARDIOVASCULAR ASSOCIATES, P.C.
Practice address
75 Crystal Run Road
Orange Regional Medical Pavilion Suite 100
Middletown, NY 10941
Phone
(845) 703-3000
Fax
(845) 703-3003
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. Andrew Milton Goldmann, MD
Title
Cardiologist
Phone
(845) 703-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 1312971 NY Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X MA45975 NJ

Addresses

Primary practice location

75 Crystal Run Road
Orange Regional Medical Pavilion Suite 100
Middletown, NY 10941

Mailing address

75 Crystal Run Road
Orange Regional Medical Pavilion Suite 100
Middletown, NY 10941
Phone (845) 703-3000

Other identifiers 7

IdentifierTypeStateIssuer
00827078MedicaidNY
958492OtherMVP
0035104OtherGHI PPO
111457OtherAETNA
559415OtherNJMEDICARE
P471437OtherOXFORD
0034324OtherGHI HMO

Other names 1

  • Andrew M Goldmann MD Former legal business name

National Provider Directory

National Provider Directory

Locations

75 Crystal Run Rd
Ste 100
Middletown, NY 10941
Phone (845) 341-0450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1083783559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN ROAD",
            "address_2": "ORANGE REGIONAL MEDICAL PAVILION SUITE 100",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10941",
            "telephone_number": "845-703-3000",
            "fax_number": "845-703-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN ROAD",
            "address_2": "ORANGE REGIONAL MEDICAL PAVILION SUITE 100",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10941",
            "telephone_number": "845-703-3000",
            "fax_number": "845-703-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CARDIOVASCULAR ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "GOLDMANN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "845-703-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "1312971",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA45975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00827078",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "958492",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0035104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "111457",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "559415",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P471437",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "0034324",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrew M Goldmann MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.