Arnold Jay Goldman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

120477 Issued in NY

Practice address

332 Willis Avenue
Roslyn Heights, NY 11577-2322

Phone

(516) 621-4333

Fax

(516) 627-8584

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255437059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WILLIS AVENUE",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772322",
            "telephone_number": "516-621-4333",
            "fax_number": "516-627-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WILLIS AVENUE",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772322",
            "telephone_number": "516-621-4333",
            "fax_number": "516-627-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ARNOLD",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "120477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gold Coast Pathology & Laboratory Services, Inc.
• Ann Goldberg, OTR, CHT
• Douglas Alan Goldberg, M.D.
• Jill Goldberg, MA SLP
• Stanley Curt Goldklang, PH.D.
• Harriet Duckler Goldman, SLP
• Nina S. Goldman, PH.D.
• Amy Goldsmith, CDN
• Michael Goldstein
• Emilia Golebiewska

• Pediatrics Physician in Roslyn Heights, NY
• Providers in Roslyn Heights, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.