Individual provider Active NPI

Randall Gould, MD

  • Cardiovascular Disease Physician
  • Seaford, NY
National Provider Identifier
1265482590
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
180299 Issued in NY
Practice address
850 Hicksville Rd
Suite 104
Seaford, NY 11783-1300
Phone
(516) 798-0141
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 180299 NY Primary

Addresses

Primary practice location

850 Hicksville Rd
Suite 104
Seaford, NY 11783-1300

Mailing address

850 Hicksville Rd Ste 104
Seaford, NY 11783-1300

Other identifiers 1

IdentifierTypeStateIssuer
01568661MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040426000873 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567459357 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Long Island Jewish Health Care Inc Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Jan 1, 2013 Accepting new patients
Massapequa Internal Medicine Associates PC Cardiovascular Disease Current Accepting new patients
North Shore Long Island Jewish Healthcare Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients

Locations

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

850 Hicksville Rd
Ste 104
Seaford, NY 11783
Phone (516) 798-0141

850 Hicksville Rd
Seaford, NY 11783
Phone (516) 798-0141

850 Hicksville Rd
Ste 110
Seaford, NY 11783
Phone (516) 735-5454

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1265482590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HICKSVILLE RD STE 104",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HICKSVILLE RD",
            "address_2": "SUITE 104",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831300",
            "telephone_number": "516-798-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "RANDALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "180299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01568661",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

Verify at the official NPI Registry.