Individual provider Active NPI

Dmitry Goldfeld, RPH

  • Pharmacist
  • Rockaway Park, NY
National Provider Identifier
1508198110
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
47368 Issued in NY
Practice address
11602 Beach Channel Dr
Rockaway Park, NY 11694-2073
Phone
(718) 945-7781
Fax
(718) 945-7785
NPI assigned
Feb 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 47368 NY Primary

Addresses

Primary practice location

11602 Beach Channel Dr
Rockaway Park, NY 11694-2073

Mailing address

11602 Beach Channel Dr
Rockaway Park, NY 11694-2073
Phone (718) 945-7781

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)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
47368NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duane Reade Past Accepting new patients
Duane Reade Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1508198110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11602 BEACH CHANNEL DR",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942073",
            "telephone_number": "718-945-7781",
            "fax_number": "718-945-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 BEACH CHANNEL DR",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942073",
            "telephone_number": "718-945-7781",
            "fax_number": "718-945-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFELD",
        "first_name": "DMITRY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-06",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "47368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.