Organization Active NPI

Gold Star Physical Therapy LLC

  • Physical Therapist
  • Englewood, NJ
National Provider Identifier
1114467875
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GOLD STAR PHYSICAL THERAPY LLC
Practice address
20 Nordhoff PL
Englewood, NJ 07631-4811
Phone
(646) 406-5994
Fax
(201) 567-9394
NPI assigned
Feb 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
David V Goldman, PTNPI 1215950845
Title
Owner
Phone
(646) 321-2639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

20 Nordhoff PL
Englewood, NJ 07631-4811

Mailing address

20 Nordhoff PL
Englewood, NJ 07631-4811
Phone (646) 406-5994

National Provider Directory

National Provider Directory

Locations

20 Nordhoff Pl
Englewood, NJ 07631
Phone (201) 595-0404

20 Nordhoff Pl
Fl 2
Englewood, NJ 07631
Phone (201) 567-9399

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": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1114467875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NORDHOFF PL",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314811",
            "telephone_number": "646-406-5994",
            "fax_number": "201-567-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NORDHOFF PL",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314811",
            "telephone_number": "646-406-5994",
            "fax_number": "201-567-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-321-2639",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.