M Goldis Medical PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

266491 Issued in NY

Legal business name

M GOLDIS MEDICAL PC

Practice address

103 Quentin Rd FL 2
Suite D
Brooklyn, NY 11223-1102

Phone

(347) 462-9292

Fax

(646) 393-5500

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Marina Elli Goldis, M.D.

Title

Doctor

Phone

(347) 462-9292

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matvey Brokhin, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
  • NPI 1770615064
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1205286341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 OCEAN PKWY APT 502",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 QUENTIN RD FL 2",
            "address_2": "SUITE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231102",
            "telephone_number": "347-462-9292",
            "fax_number": "646-393-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M GOLDIS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "GOLDIS",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "ELLI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "347-462-9292",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "266491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M & R Medical Supply Corp.
• M and a Care Management, LLC
• M and J Pharmacy
• M and M Psychiatric Nurse Practitioner Services PLLC
• M Drugs Inc
• M Isaac Johnson DPM PLLC
• M J Akerman MD PLLC
• M J Trans Corp
• M Lisker Acupuncture PC
• M M Dental PC

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.