Patrick Gooch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

060033 Issued in NY

Practice address

1601 Veterans Memorial Hwy Ste 200
Islandia, NY 11749-1528

Phone

(641) 348-7777

NPI assigned

Jun 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1508396599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 RAYNHAM DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913909",
            "telephone_number": "516-282-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 VETERANS MEMORIAL HWY STE 200",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491528",
            "telephone_number": "641-348-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Stockholm St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112374006",
            "country_code": "US",
            "telephone_number": "718-205-2470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Gillan, N.P.
• Kimberly Giordano
• Patricia D Glick, M.ED., BCBA
• Amanda Marie Glover, BCBA
• Cristina Ana Gonzalez, LPN
• Surya Gopal, PHARM. D.
• Nalin Gorbert, LCSW
• Ron D Gottlieb, M.D.
• Lani Graham, NP
• Howard C Green, DC

• General Practice Dentistry in Islandia, NY
• Providers in Islandia, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.