Gold Coast Medical Wellness, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GOLD COAST MEDICAL WELLNESS, PLLC

Practice address

700 New York Ave
Huntington, NY 11743-4264

Phone

(631) 547-4100

Fax

(631) 923-2907

NPI assigned

Jan 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Aquino, MD

Title

President

Phone

(631) 547-4100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1285223933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NEW YORK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434264",
            "telephone_number": "631-547-4100",
            "fax_number": "631-923-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NEW YORK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434264",
            "telephone_number": "631-547-4100",
            "fax_number": "631-923-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST MEDICAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-547-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Gnieser, LMSW
• Andrew Godwin, M.D.
• Jennifer Ashley Goebel, DO
• Sureshchandra T Gohel, RPH
• Gohil Medical Services, PC
• Gold Coast Physical Therapy & Physical Therapy Asst PLLC (Gold Coast Physical Therapists And Sports Training)
• Gold Coast Physical Therapy and Physcial Therapy Asst PLLC (Gold Coast Physical Therapy and Sports Training)
• Wendy Gail Goldblatt, PH.D
• Sara Anne Goldfarb
• Steven Louis Goldman, MD

• Internal Medicine Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.