Organization Active NPI

Golyan Medical Associate PC

  • Cardiovascular Disease Physician
  • Forest Hills, NY
National Provider Identifier
1417412958
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
GOLYAN MEDICAL ASSOCIATE PC
Practice address
6902 Austin St
Forest Hills, NY 11375-4233
Phone
(516) 423-6141
NPI assigned
Feb 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Dr. Faraidoon Daniel Golyan, DONPI 1174559926
Title
Owner
Phone
(516) 423-6141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

6902 Austin St
Forest Hills, NY 11375-4233

Mailing address

421 E Shore Rd
Kings Point, NY 11024-2128
Phone (516) 775-8605

Other identifiers 1

IdentifierTypeStateIssuer
01895596MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190422001602 NY Part B Supplier - Clinic/Group Practice 0648512707 Receives reassigned benefits from 3 practitioners
Practice locations: Elmhurst, NY; Forest Hills, NY; Great Neck, NY; Manhasset, NY; Roslyn, NY

National Provider Directory

National Provider Directory

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

6506 Myrtle Ave
Glendale, NY 11385
Phone (718) 316-9600

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1417412958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E SHORE RD",
            "city": "KINGS POINT",
            "state": "NY",
            "postal_code": "110242128",
            "telephone_number": "516-775-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754233",
            "telephone_number": "516-423-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLYAN MEDICAL ASSOCIATE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "GOLYAN",
        "authorized_official_first_name": "FARAIDOON",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-423-6141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01895596",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.