Active NPI
Michael Sean Goonan, M.D.
- Pediatrics Physician
- New York, NY
National Provider Identifier
1104186303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 272640
- Practice address
- 462 1St Ave
Bellevue Hospital, NBV 8S5
New York, NY 10016-9196 - Phone
- (212) 263-6466
- NPI assigned
- May 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 272640 | NY | Primary |
Addresses
Primary practice location
462 1St Ave
Bellevue Hospital, NBV 8S5
New York, NY 10016-9196
Mailing address
462 1St Ave
Bellevue Hospital, NBV 8S5
New York, NY 10016-9196
Phone (212) 263-6466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1104186303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 1ST AVE",
"address_2": "BELLEVUE HOSPITAL, NBV 8S5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169196",
"telephone_number": "212-263-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 1ST AVE",
"address_2": "BELLEVUE HOSPITAL, NBV 8S5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169196",
"telephone_number": "212-263-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOONAN",
"first_name": "MICHAEL",
"middle_name": "SEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-22",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "272640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.