Paul R. Goldman, P.T., P.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010820 Issued in NY

Legal business name

PAUL R. GOLDMAN, P.T., P.C.

Practice address

19 Mansfield Dr
Massapequa Park, NY 11762-4033

Phone

(516) 566-1398

Fax

(516) 799-4542

NPI assigned

Mar 30, 2011

Organization subpart

No

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

Authorized official

Name

Paul Russell Goldman, P.T.

Title

Physical Therapist

Phone

(516) 566-1398

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1467741447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MANSFIELD DR",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117624033",
            "telephone_number": "516-566-1398",
            "fax_number": "516-799-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MANSFIELD DR",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117624033",
            "telephone_number": "516-566-1398",
            "fax_number": "516-799-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R. GOLDMAN, P.T., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-566-1398",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "010820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.