Organization Active NPI

James J Goetz

  • Foot & Ankle Surgery Podiatrist
  • North Babylon, NY
National Provider Identifier
1376743633
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N004737 Issued in NY
Legal business name
JAMES J GOETZ
Practice address
1428 Deer Park Ave
North Babylon, NY 11703-1611
Phone
(631) 586-3388
Fax
(631) 586-3394
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Authorized official

Name
Dr. James J Goetz, DPM
Title
Podiatrist
Phone
(631) 586-3388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N004737 NY Primary

Addresses

Primary practice location

1428 Deer Park Ave
North Babylon, NY 11703-1611

Mailing address

1428 Deer Park Ave
North Babylon, NY 11703-1611
Phone (631) 586-3388

Other identifiers 1

IdentifierTypeStateIssuer
01236960MedicaidNY

Other names 1

  • James J. Goetz Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1376743633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031611",
            "telephone_number": "631-586-3388",
            "fax_number": "631-586-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031611",
            "telephone_number": "631-586-3388",
            "fax_number": "631-586-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J GOETZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "631-586-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N004737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01236960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James J. Goetz",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.