Active NPI
Golden Brook Senior Care PC
- Geriatric Medicine (Internal Medicine) Physician
- North Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- GOLDEN BROOK SENIOR CARE PC
- Practice address
- 16650 W Dixie Hwy
North Miami Beach, FL 33160-3713 - Phone
- (718) 470-0288
- Fax
- (718) 946-6089
- NPI assigned
- Jun 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Retek
- Title
- Authorized Official
- Phone
- (718) 470-0288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
16650 W Dixie Hwy
North Miami Beach, FL 33160-3713
Mailing address
407 Willoughby Ave
Brooklyn, NY 11205-4590
Phone (718) 470-0288
Other practice location 1
168 W Central St
Natick, MA 01760-4122
Phone (718) 470-0288
Other practice location 2
6006 Brandy Chase Cv
Fort Wayne, IN 46815-7601
Phone (718) 470-0288
Other practice location 3
2565 Niles Vienna Rd
Niles, OH 44446-4401
Phone (718) 470-0288
Other practice location 4
240 E North St
Hastings, MI 49058-1026
Phone (718) 470-0288
Other practice location 5
450 E Fulton St
Paxton, IL 60957-1716
Phone (718) 470-0288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5 Research Dr
Ste 2
Shelton, CT 06484
Phone (203) 901-3493
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Shelton, CT
- NPI 1306849922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781481600000",
"number": "1306739719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 WILLOUGHBY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112054590",
"telephone_number": "718-470-0288",
"fax_number": "718-946-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16650 W DIXIE HWY",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331603713",
"telephone_number": "718-470-0288",
"fax_number": "718-946-6089"
}
],
"practiceLocations": [
{
"address_1": "168 W Central St",
"address_purpose": "LOCATION",
"city": "Natick",
"state": "MA",
"postal_code": "017604122",
"country_code": "US",
"telephone_number": "718-470-0288",
"fax_number": "718-946-6089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6006 Brandy Chase Cv",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468157601",
"country_code": "US",
"telephone_number": "718-470-0288",
"fax_number": "718-946-6089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2565 Niles Vienna Rd",
"address_purpose": "LOCATION",
"city": "Niles",
"state": "OH",
"postal_code": "444464401",
"country_code": "US",
"telephone_number": "718-470-0288",
"fax_number": "718-946-6089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 E North St",
"address_purpose": "LOCATION",
"city": "Hastings",
"state": "MI",
"postal_code": "490581026",
"country_code": "US",
"telephone_number": "718-470-0288",
"fax_number": "718-946-6089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 E Fulton St",
"address_purpose": "LOCATION",
"city": "Paxton",
"state": "IL",
"postal_code": "609571716",
"country_code": "US",
"telephone_number": "718-470-0288",
"fax_number": "718-946-6089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GOLDEN BROOK SENIOR CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-03",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A",
"authorized_official_last_name": "RETEK",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "718-470-0288"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.