Organization Active NPI

Maury a Goldman MD PC

  • Allergy & Immunology Physician
  • Melrose, MA
National Provider Identifier
1134329055
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
29767 Issued in MA
Legal business name
MAURY A GOLDMAN MD PC
Practice address
50 Rowe St
Suite 700
Melrose, MA 02176-3201
Phone
(781) 662-6010
NPI assigned
Jul 19, 2007
Last updated
Jul 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Dr. Maury A Goldman, M.D.,P.C.
Title
Physician
Phone
(781) 662-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 29767 MA Primary

Addresses

Primary practice location

50 Rowe St
Suite 700
Melrose, MA 02176-3201

Mailing address

50 Rowe St
Suite 700
Melrose, MA 02176-3201
Phone (781) 662-6010

Other identifiers 3

IdentifierTypeStateIssuer
2091674MedicaidMA
029767OtherMATUFTS
B31086OtherMABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

50 Rowe St
Ste 700
Melrose, MA 02176
Phone (781) 662-6010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1134329055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROWE ST",
            "address_2": "SUITE 700",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763201",
            "telephone_number": "781-662-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROWE ST",
            "address_2": "SUITE 700",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763201",
            "telephone_number": "781-662-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURY A GOLDMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "MAURY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "781-662-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,P.C."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "29767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091674",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "029767",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "B31086",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.