Kenneth Todd Goldstein, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

002721 Issued in NY

Practice address

6325 Main St
Suite 200
Williamsville, NY 14221-5822

Phone

(716) 630-1295

Fax

(716) 250-5999

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1194784116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ESSJAY RD STE 170",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218235",
            "telephone_number": "716-630-1219",
            "fax_number": "716-817-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 MAIN ST",
            "address_2": "SUITE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215822",
            "telephone_number": "716-630-1295",
            "fax_number": "716-250-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Essjay Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142218216",
            "country_code": "US",
            "telephone_number": "716-630-1295",
            "fax_number": "716-250-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "KENNETH",
        "middle_name": "TODD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002721",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "002721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00588683",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Goff
• Christina Golab
• Kathleen M Goldblatt, LCSWR
• Jenna Lindsay Goldsmith, NP
• Jeremy Goldsmith
• Trisha Mari Goldwater, DPT
• Dana M Golebiewski, LMT
• Heidrun Gollogly, M.D.
• Crysti Golpl, LPN
• Good Neighbor Psychology PLLC

• Foot & Ankle Surgery Podiatrist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.