Eric Goldman, DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X3553-1 Issued in NY

Legal business name

ERIC GOLDMAN, DC PC

Practice address

1540 Route 202
Suite 12
Pomona, NY 10970-2911

Phone

(845) 354-2100

Fax

(845) 354-2393

NPI assigned

May 2, 2011

Organization subpart

No

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

Authorized official

Name

Eric Goldman, DCNPI 1811187586

Title

President

Phone

(845) 354-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Goldman, D.C.

  • Chiropractor
  • Pomona, NY
  • NPI 1811187586
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1356632822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ROUTE 202",
            "address_2": "SUITE 12",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702911",
            "telephone_number": "845-354-2100",
            "fax_number": "845-354-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ROUTE 202",
            "address_2": "SUITE 12",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702911",
            "telephone_number": "845-354-2100",
            "fax_number": "845-354-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC GOLDMAN, DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-354-2100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3553-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Pomona, NY
• Providers in Pomona, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.