Goldman Dermatology, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

188106-1 Issued in NY

Legal business name

GOLDMAN DERMATOLOGY, PLLC

Practice address

150 Broadway
Suite 1110
New York, NY 10038-4381

Phone

(212) 962-1115

Fax

(212) 962-1246

NPI assigned

Oct 24, 2005

Last updated

May 6, 2008By 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

Dr. Barry D Goldman, M.D.NPI 1831139856

Title

Owner

Phone

(212) 962-1115

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 12

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.

• Barry David Goldman, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1831139856
  Medicare reassignment Care Compare group NPD Authorized official
• Tatyana Petukhova, M.D., M.S.

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1528300878
  Medicare reassignment Care Compare group NPD
• Helen Radoszycki, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1073512307
  Medicare reassignment Care Compare group NPD
• Adam Nabatian, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1548569437
  Medicare reassignment NPD
• Kimberly Rachel Shao, MD

  • MOHS-Micrographic Surgery Physician
  • Lakewood, CO
  • NPI 1891282547

  NY

  Medicare reassignment NPD
• Shawn Shih, MD

  • Dermatology Physician
  • Rutherford, NJ
  • NPI 1750840807

  NY

  Medicare reassignment NPD
• Marianne Pistilli, P.A.

  • Surgical Physician Assistant
  • New York, NY
  • NPI 1235120718
  Medicare reassignment
• Jennifer Ashley Savage, PA-C

  • Physician Assistant
  • New York, NY
  • NPI 1629578901
  Medicare reassignment
• Alan Marc Bienstock, MD

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1811900426
  NPD (past)
• Michael Abrishami, M.D.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1740307073
  NPD (past)
• Anna Krishtul, MD

  • Dermatology Physician
  • West Palm Beach, FL
  • NPI 1518124759
  NPD (past)
• Michael B Stierstorfer, M.D.

  • Dermatology Physician
  • North Wales, PA
  • NPI 1376549360
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1154311900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADWAY",
            "address_2": "SUITE 1110",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384381",
            "telephone_number": "212-962-1115",
            "fax_number": "212-962-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADWAY",
            "address_2": "SUITE 1110",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384381",
            "telephone_number": "212-962-1115",
            "fax_number": "212-962-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDMAN DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-962-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "188106-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goldklank & Fulmer Psychological Services PC
• Shelly Ellen Goldklank, PHD
• Diane Goldkopf, PH.D
• Ian Scott Goldlust, MD, PHD
• Sandra Michelle Goldlust, MD
• Nadya Goldman Dunay
• Amy F Goldman
• Ariella Goldman, M.D., MPH
• Aron Goldman, M.D.
• Barry David Goldman, M.D.

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.