Howard Goldfaden, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

5901001172 Issued in MI

Practice address

4704 Stoneview
West Bloomfield, MI 48322-3498

Phone

(248) 855-2568

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1508955642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 STONEVIEW",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223498",
            "telephone_number": "248-855-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 STONEVIEW",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223498",
            "telephone_number": "248-855-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFADEN",
        "first_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901001172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1617391",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS MICHIGAN",
            "identifier": "4856351216",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Golden
• Jeffrey Saul Goldenberg, D.D.S.
• Goldenheart Home Care
• Goldenheart Home Care LLC
• Amy Goldfaden, M.D.
• Robert S. Goldfarb, M.D.
• Shari-Beth Goldman, LMSW
• Alan David Goldsmith, M.D.
• Alisa Esther Goldstein, D.O.
• Julie K Goldstein, DDS

• Primary Podiatric Medicine Podiatrist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Primary Podiatric Medicine Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.