Goldman Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01155800 Issued in NJ

Legal business name

GOLDMAN PHYSICAL THERAPY, LLC

Doing business as

David Victor Goldman, MSPT

Practice address

20 Nordhoff PL FL 2
The Gym
Englewood, NJ 07631-4811

Phone

(201) 567-9399

Fax

(201) 567-9394

NPI assigned

Feb 12, 2010

Organization subpart

No

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

Authorized official

Name

Mr. David V Goldman, MSPTNPI 1215950845

Title

Owner

Phone

(646) 321-2639

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• David Victor Goldman, MSPT Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Victor Goldman, M.S.P.T.

  • Physical Therapist
  • Englewood, NJ
  • NPI 1215950845
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1205168457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NORDHOFF PL FL 2",
            "address_2": "THE GYM",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314811",
            "telephone_number": "201-567-9399",
            "fax_number": "201-567-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NORDHOFF PL FL 2",
            "address_2": "THE GYM",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314811",
            "telephone_number": "201-567-9399",
            "fax_number": "201-567-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDMAN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-321-2639",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01155800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "ZL5614",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD -OUT OF NETWRK",
            "identifier": "G4194239",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "40QA01155800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH - OON",
            "identifier": "P4064332",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Victor Goldman, MSPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob L Goldberg, MD
• Lorna Scales Goldberg, LCSW
• William Seth Goldberg, MSW
• Joshua Aaron Goldfein, D.M.D.
• Mindy A Goldfischer, MD
• David Victor Goldman, M.S.P.T.
• Faith Renee Goldman, M.D.
• Melissa Goldman, M.A.
• Miriam Ann Goldsmith, PA
• Richard S Goldweit, MD, FACC

• Physical Therapist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.