NPIMap

Individual provider Active NPI

Faraidoon Daniel Golyan, DO

  • Cardiovascular Disease Physician
  • Forest Hills, NY
National Provider Identifier
1174559926
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
190702 Issued in NY
Practice address
6902 Austin St
2ND Floor
Forest Hills, NY 11375-4250
Phone
(718) 793-6800
Fax
(718) 261-4312
NPI assigned
Jun 23, 2006
Last updated
Nov 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 190702 NY Primary

Addresses

Primary practice location

6902 Austin St
2ND Floor
Forest Hills, NY 11375-4250

Mailing address

6902 Austin St
2ND Floor
Forest Hills, NY 11375-4250
Phone (718) 793-6800

Other identifiers 1

IdentifierTypeStateIssuer
01895596MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070118000384 NY Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4789685744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5710 Junction Blvd
Elmhurst, NY 11373-5171
Phone (516) 775-8605

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
15.11 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
50.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Golyan Medical Associate PC Cardiovascular Disease CurrentSince Feb 8, 2019 Accepting new patients
Ny Medical Healthcare P.C Cardiovascular Disease Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
North Shore University Hospital Past Accepting new patients
Judah Schorr MD PC Past Accepting new patients
Golyan Medical PLLC Past Accepting new patients
St Vincents Catholic Medical Center Past Accepting new patients

Locations

6902 Austin St
Forest Hills, NY 11375
Phone (516) 423-6141

6902 Austin St
Fl 2
Forest Hills, NY 11375
Phone (516) 424-2862

6902 Austin St
Ste 2
Forest Hills, NY 11375
Phone (718) 263-5222

287 Northern Blvd
Ste 108
Great Neck, NY 11021
Phone (516) 418-6942

300 Community Dr
Manhasset, NY 11030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1174559926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 AUSTIN ST",
            "address_2": "2ND FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754250",
            "telephone_number": "718-793-6800",
            "fax_number": "718-261-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 AUSTIN ST",
            "address_2": "2ND FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754250",
            "telephone_number": "718-793-6800",
            "fax_number": "718-261-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLYAN",
        "first_name": "FARAIDOON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "190702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01895596",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.