Active NPI
James J Goetz
- Foot & Ankle Surgery Podiatrist
- North Babylon, NY
National Provider Identifier
1376743633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N004737
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01236960 | Medicaid | NY |
Other names 1
- James J. Goetz
National Provider Directory
National Provider DirectoryNPI 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.