Active NPI
William R Gooch, M.D.
- Neurology Physician
- Kingston, NY
National Provider Identifier
1457348351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 163799
- Practice address
- 365 Broadway
Kingston, NY 12401-5151 - Phone
- (845) 331-5165
- Fax
- (845) 331-6238
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 163799 | NY | Primary |
Addresses
Primary practice location
365 Broadway
Kingston, NY 12401-5151
Mailing address
365 Broadway
Kingston, NY 12401-5151
Phone (845) 331-5165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163799 | NY | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1457348351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 BROADWAY",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015151",
"telephone_number": "845-331-5165",
"fax_number": "845-331-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 BROADWAY",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015151",
"telephone_number": "845-331-5165",
"fax_number": "845-331-6238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOCH",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "163799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.