Active NPI
David Victor Goldman, M.S.P.T.
- Physical Therapist
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01155800
- Practice address
- 20 Nordhoff PL FL 2
The Gym
Englewood, NJ 07631-4811 - Phone
- (201) 567-9399
- Fax
- (201) 567-9394
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 020989 | NY | |
| Physical Therapist | 225100000X | 40QA01155800 | NJ | Primary |
Addresses
Primary practice location
20 Nordhoff PL FL 2
The Gym
Englewood, NJ 07631-4811
Mailing address
20 Nordhoff PL FL 2
Thee Gym
Englewood, NJ 07631-4811
Phone (201) 567-9399
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2300837 | Other | UNITED HEALTHCARE -OUT OF NETWORK | |
| 6455113 | Other | NJ | AETNA HMO -OON |
| 7742471 | Other | AETNA -OUT OF NETWORK | |
| P4194238 | Other | OXFORD -OUT OF NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20 Nordhoff PL
Englewood, NJ 07631-4811
20 Nordhoff Place
Englewood, NJ 07631-4811
Phone (646) 321-2639
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020989 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldman Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Gold Star Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| KLB Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
20 Nordhoff Pl
Fl 2
Englewood, NJ 07631
Phone (201) 567-9399
20 Nordhoff Pl
Englewood, NJ 07631
Phone (201) 595-0404
Organizations & group practices 3
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.
-
dba David Victor Goldman, MSPT
- Physical Therapist
- Englewood, NJ
- NPI 1205168457
-
- Physical Therapist
- Englewood, NJ
- NPI 1114467875
-
dba Chelsea Physical Therapy and Rehabilitation LLP
- Physical Therapist
- New York, NY
- NPI 1972701654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1215950845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 NORDHOFF PL FL 2",
"address_2": "THEE 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": {
"last_name": "GOLDMAN",
"first_name": "DAVID",
"middle_name": "VICTOR",
"name_prefix": "Mr.",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "020989",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01155800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE -OUT OF NETWORK",
"identifier": "2300837",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO -OON",
"identifier": "6455113",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA -OUT OF NETWORK",
"identifier": "7742471",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD -OUT OF NETWORK",
"identifier": "P4194238",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.