Organization Active NPI

Steven Goodman, MD Physician Faos PLLC

  • Specialist
  • East Meadow, NY
National Provider Identifier
1306079736
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
143929 Issued in NY
Legal business name
STEVEN GOODMAN, MD PHYSICIAN FAOS PLLC
Practice address
30 Merrick Ave
Suite 100
East Meadow, NY 11554-1580
Phone
(516) 794-7012
Fax
(516) 794-7074
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Dr. Steven L. Goodman, M.D.
Title
Owner
Phone
(516) 794-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 143929 NY Primary

Addresses

Primary practice location

30 Merrick Ave
Suite 100
East Meadow, NY 11554-1580

Mailing address

30 Merrick Ave
Suite 100
East Meadow, NY 11554-1580
Phone (516) 794-7012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1306079736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MERRICK AVE",
            "address_2": "SUITE 100",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541580",
            "telephone_number": "516-794-7012",
            "fax_number": "516-794-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MERRICK AVE",
            "address_2": "SUITE 100",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541580",
            "telephone_number": "516-794-7012",
            "fax_number": "516-794-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN GOODMAN, MD PHYSICIAN FAOS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-794-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "143929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.