Individual provider Active NPI

Cary Miles Golub, D.P.M.

  • Foot Surgery Podiatrist
  • Long Beach, NY
National Provider Identifier
1356344550
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005037 Issued in NY
Practice address
854 E Broadway
Long Beach, NY 11561-4758
Phone
(516) 889-2200
Fax
(516) 889-4444
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005037 NY Primary

Addresses

Primary practice location

854 E Broadway
Long Beach, NY 11561-4758

Mailing address

854 E Broadway
Long Beach, NY 11561-4758
Phone (516) 889-2200

Other identifiers 1

IdentifierTypeStateIssuer
01452900MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000390 NY Practitioner - Podiatry 2961580485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

854 E Broadway
Long Beach, NY 11561-4758
Phone (516) 889-2200

Merit-based Incentive Payment System (MIPS)

Final score
85.92 of 100Reported as individual
Quality
71.84
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions1-10
Removal of nail tissue1353
Removal or shaving of skin growth806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5037NYMDClinical Psychologist
050371NYMDPharmacist
N005037NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Podiatric Care PLLC CurrentSince Mar 1, 2021 Accepting new patients
Cary M. Golub DPM PC Foot Surgery CurrentSince Jan 1, 1996 Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2015 Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2015 Accepting new patients

Locations

854 E Broadway
Long Beach, NY 11561
Phone (516) 889-2200

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

637 Willis Ave
Ste E
Williston Pk, NY 11596
Phone (516) 248-8188

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: cgolub47789@direct-chsli.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1356344550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 E BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614758",
            "telephone_number": "516-889-2200",
            "fax_number": "516-889-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 E BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614758",
            "telephone_number": "516-889-2200",
            "fax_number": "516-889-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUB",
        "first_name": "CARY",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01452900",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.