Organization Active NPI

Gary Golduber Cardiology PC

  • Specialist
  • Hewlett, NY
National Provider Identifier
1134458540
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
237371 Issued in NY
Legal business name
GARY GOLDUBER CARDIOLOGY PC
Practice address
84 Crystal CT
Hewlett, NY 11557-2406
Phone
(718) 261-9100
Fax
(718) 897-2915
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Dr. Gary Golduber, D.O.
Title
President
Phone
(718) 261-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 237371 NY Primary

Addresses

Primary practice location

84 Crystal CT
Hewlett, NY 11557-2406

Mailing address

84 Crystal CT
Hewlett, NY 11557-2406
Phone (718) 261-9100

National Provider Directory

National Provider Directory

Locations

2626 E 14th St
Brooklyn, NY 11235
Phone (718) 332-5300

2626 E 14th St
Ste 204
Brooklyn, NY 11235
Phone (718) 513-1400

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1134458540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CRYSTAL CT",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572406",
            "telephone_number": "718-261-9100",
            "fax_number": "718-897-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CRYSTAL CT",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572406",
            "telephone_number": "718-261-9100",
            "fax_number": "718-897-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY GOLDUBER CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "GOLDUBER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-261-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "237371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.