Organization Active NPI

Golden Brook Senior Care PC

  • Geriatric Medicine (Internal Medicine) Physician
  • North Miami Beach, FL
National Provider Identifier
1306739719
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
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

Updated by the provider on Jun 15, 2026

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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250709000914 CT Part B Supplier - Clinic/Group Practice 5294249561 Receives reassigned benefits from 1 practitioner
Practice locations: Shelton, CT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.