Individual provider Active NPI

Samuel Nathan Goldring, D.P.M.

  • Podiatrist
  • New York, NY
National Provider Identifier
1124026315
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003014-1 Issued in NY
Practice address
153 E 87TH St
Ste 1a
New York, NY 10128-2700
Phone
(212) 360-6460
Fax
(212) 360-6460
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003014-1 NY Primary

Addresses

Primary practice location

153 E 87TH St
Ste 1a
New York, NY 10128-2700

Mailing address

153 E 87TH St
Ste 1a
New York, NY 10128-2700
Phone (212) 360-6460

Other identifiers 1

IdentifierTypeStateIssuer
00516096MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000234 NY Practitioner - Podiatry 9638364656 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

153 E 87TH St
New York, NY 10128-2701
Phone (212) 360-6460

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003014-1NYMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1124026315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E 87TH ST",
            "address_2": "STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282700",
            "telephone_number": "212-360-6460",
            "fax_number": "212-360-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E 87TH ST",
            "address_2": "STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282700",
            "telephone_number": "212-360-6460",
            "fax_number": "212-360-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDRING",
        "first_name": "SAMUEL",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003014-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00516096",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.