NPIMap

Organization Active NPI

Alisan B Goldfarb M.D. P.C.

  • Specialist
  • New York, NY
National Provider Identifier
1215261029
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
133064 Issued in NY
Legal business name
ALISAN B GOLDFARB M.D. P.C.
Practice address
1185 Park Ave
#1A
New York, NY 10128-1308
Phone
(212) 987-5000
Fax
(212) 987-2981
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Dr. Alisan Beth Goldfarb, M.D.
Title
President
Phone
(212) 987-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 133064 NY Primary

Addresses

Primary practice location

1185 Park Ave
#1A
New York, NY 10128-1308

Mailing address

1185 Park Ave
#1A
New York, NY 10128-1308
Phone (212) 987-5000

National Provider Directory

National Provider Directory

Locations

1185 Park Ave
Apt 1A
New York, NY 10128

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1215261029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 PARK AVE",
            "address_2": "#1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281308",
            "telephone_number": "212-987-5000",
            "fax_number": "212-987-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 PARK AVE",
            "address_2": "#1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281308",
            "telephone_number": "212-987-5000",
            "fax_number": "212-987-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISAN B GOLDFARB M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "GOLDFARB",
        "authorized_official_first_name": "ALISAN",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-987-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "133064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.