Michael T Goldfarb MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4301045024 Issued in MI

Legal business name

MICHAEL T GOLDFARB MD PC

Practice address

2051 Monroe St
Dearborn, MI 48124-2920

Phone

(313) 563-1212

Fax

(313) 563-6069

NPI assigned

Dec 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael Thomas Goldfarb, MDNPI 1467422923

Title

President

Phone

(313) 563-1212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Thomas Goldfarb, M.D.

  • Dermatology Physician
  • Dearborn, MI
  • NPI 1467422923
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1386947331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242920",
            "telephone_number": "313-563-1212",
            "fax_number": "313-563-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242920",
            "telephone_number": "313-563-1212",
            "fax_number": "313-563-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T GOLDFARB MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "GOLDFARB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-563-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301045024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Mezher, OTR/L
• Mi Body Contour
• Mi Trusted Care RX Inc
• Taslima Miah, OTR/L
• Michael S Krivitsky DO PLLC
• Michael Younes OD PC
• Jeremy Michaelson
• Ronald Michaelson
• Rebecca Marie Michalski
• Michelle Akler MD PC

• Dermatology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.