Active NPI
Richard Brian Goldblatt, P.A.
- Medical Physician Assistant
- Brooklyn, NY
National Provider Identifier
1164651626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 002200-1
- Practice address
- 445 Lenox Road
Suny Downstate University Hospital, Box 50
Brooklyn, NY 11203 - Phone
- (718) 270-1000
- NPI assigned
- Jul 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 002200-1 | NY | Primary |
Addresses
Primary practice location
445 Lenox Road
Suny Downstate University Hospital, Box 50
Brooklyn, NY 11203
Mailing address
445 Lenox Road, Box 50
Suny Downstate University Hospital
Brooklyn, NY 11203
Phone (718) 270-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002200-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1164651626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 LENOX ROAD, BOX 50",
"address_2": "SUNY DOWNSTATE UNIVERSITY HOSPITAL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-270-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 LENOX ROAD",
"address_2": "SUNY DOWNSTATE UNIVERSITY HOSPITAL, BOX 50",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-270-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBLATT",
"first_name": "RICHARD",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-06",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "002200-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.