Organization Active NPI

Stephen B Goldfarb DO PC

  • Hematology & Oncology Physician
  • Garden City, MI
National Provider Identifier
1275706640
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
SB006197 Issued in MI
Legal business name
STEPHEN B GOLDFARB DO PC
Practice address
6255 Inkster Rd
Ste 105
Garden City, MI 48135-2577
Phone
(734) 522-0404
Fax
(734) 522-0835
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Mrs. Kathy M Nadai
Title
Billing Agent
Phone
(248) 547-3914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X SB006197 MI Primary

Addresses

Primary practice location

6255 Inkster Rd
Ste 105
Garden City, MI 48135-2577

Mailing address

6255 Inkster Rd
Ste 105
Garden City, MI 48135-2577
Phone (734) 522-0404

Other identifiers 2

IdentifierTypeStateIssuer
1158213634OtherMIBCBSM
1705073MedicaidMI

National Provider Directory

National Provider Directory

Locations

6255 Inkster Rd
Ste 10
Garden City, MI 48135
Phone (734) 522-0404

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": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1275706640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "STE 105",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-522-0404",
            "fax_number": "734-522-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "STE 105",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-522-0404",
            "fax_number": "734-522-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN B GOLDFARB DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "NADAI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "248-547-3914",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "SB006197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1158213634",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705073",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.