Individual provider Active NPI

Edward Benjamin Goldin, DDS

  • Prosthodontics
  • New York, NY
National Provider Identifier
1184995276
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
049437 Issued in NY
Practice address
370 Lexington Ave FL 26
New York, NY 10017-6573
Phone
(212) 986-4830
NPI assigned
Jan 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 049437 NY Primary

Addresses

Primary practice location

370 Lexington Ave FL 26
New York, NY 10017-6573

Mailing address

370 Lexington Ave FL 26
New York, NY 10017-6573
Phone (212) 986-4830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160330001560 NY Order and Referring Only - DentistPractitioner - Dentist 8123325529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049437NYMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosthodontic Associates PLLC Prosthodontics CurrentSince Jun 3, 2025 Accepting new patients
Prosthodontic Associates of Ny, PC Prosthodontics Past Accepting new patients

Locations

370 Lexington Ave
Fl 26
New York, NY 10017
Phone (212) 986-4830

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1184995276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 LEXINGTON AVE FL 26",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176573",
            "telephone_number": "212-986-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LEXINGTON AVE FL 26",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176573",
            "telephone_number": "212-986-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDIN",
        "first_name": "EDWARD",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-20",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "049437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.