Organization Active NPI

Steven a Golub MD, PLLC

  • Internal Medicine Physician
  • East Meadow, NY
National Provider Identifier
1366639247
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
151991 Issued in NY
Legal business name
STEVEN A GOLUB MD, PLLC
Practice address
602 Merrick Ave
East Meadow, NY 11554-4731
Phone
(516) 481-2000
Fax
(516) 481-7690
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Steven A Golub, MD
Title
President
Phone
(515) 481-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 151991 NY Primary

Addresses

Primary practice location

602 Merrick Ave
East Meadow, NY 11554-4731

Mailing address

602 Merrick Ave
East Meadow, NY 11554-4731
Phone (516) 481-2000

Other identifiers 1

IdentifierTypeStateIssuer
WJ6851OtherMEDICARE IDENTIFICATION #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1366639247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544731",
            "telephone_number": "516-481-2000",
            "fax_number": "516-481-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544731",
            "telephone_number": "516-481-2000",
            "fax_number": "516-481-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A GOLUB MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "GOLUB",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-481-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "151991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION #",
            "identifier": "WJ6851",
            "state": null
        }
    ],
    "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 25, 2007; 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.