Good Will Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

207114 Issued in NY

Legal business name

GOOD WILL MEDICAL PC

Practice address

51 15 Beach Channel Drive
Peninsula Hospital
Far Rockaway, NY 11691-1074

Phone

(718) 734-2345

Fax

(718) 734-2808

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Salli Laufer, MD

Title

Attending Hospitalist

Phone

(718) 734-2345

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124103585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WEST 27TH STREET",
            "address_2": "11 FLOOR SOUTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016216",
            "telephone_number": "212-524-7724",
            "fax_number": "212-543-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 15 BEACH CHANNEL DRIVE",
            "address_2": "PENINSULA HOSPITAL",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911074",
            "telephone_number": "718-734-2345",
            "fax_number": "718-734-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD WILL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAUFER",
        "authorized_official_first_name": "SALLI",
        "authorized_official_title_or_position": "ATTENDING HOSPITALIST",
        "authorized_official_telephone_number": "718-734-2345",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01809549",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Golombeck, MSW
• Marina Leonidovna Golovko
• Adine Gomez
• Debbie E Gononsky, RPH
• Jonathan Gonzales, MD
• Good Will Medical, P.C.
• John Goode
• Shani Suzanne Goodman, OT/L
• Alexander Gordon, MD, MPH
• Catrina Pearl Gordon, LMSW

• Internal Medicine Physician in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.