Gold Coast Podiatry, PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N005995 Issued in NY

Legal business name

GOLD COAST PODIATRY, PC

Practice address

222 E Middle Country Rd Ste 200
Smithtown, NY 11787-2814

Phone

(631) 265-7777

Fax

(631) 265-7778

NPI assigned

Jan 19, 2011

Organization subpart

No

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

Authorized official

Name

Wendy S. Siegel, DPMNPI 1184622763

Title

Owner

Phone

(631) 265-7777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Wendy S Siegel, DPM

  • Foot Surgery Podiatrist
  • Smithtown, NY
  • NPI 1184622763
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1083919286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E MIDDLE COUNTRY RD STE 5",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872871",
            "telephone_number": "631-265-7777",
            "fax_number": "631-265-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MIDDLE COUNTRY RD STE 200",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872814",
            "telephone_number": "631-265-7777",
            "fax_number": "631-265-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-265-7777",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Gobbi
• Stephenie Gobris
• Katie Anne Goehle, LMSW
• Alexandra Bongiorno Goitia, RN
• Gold Coast Physical Therapists & Therapy Assistants
• Avram Gold, M.D.
• Richard Samuel Gold, MD
• Richard Bruce Goldman, D.D.S.
• Thomas Michael Goldrick, RPA
• Jenna Nicole Goldstein, PA-C

• Foot Surgery Podiatrist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.