Gary L Goldfaden MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

GARY L GOLDFADEN MD PA

Practice address

3816 Hollywood Blvd
Suite 205
Hollywood, FL 33021-6750

Phone

(954) 966-5409

Fax

(954) 966-0852

NPI assigned

May 7, 2010

Last updated

May 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary L Goldfaden, MDNPI 1265545974

Title

President

Phone

(954) 966-5409

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary L Goldfaden, M.D.

  • Dermatology Physician
  • Hollywood, FL
  • NPI 1265545974
  Authorized official Same address or phone

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1518285030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 HOLLYWOOD BLVD",
            "address_2": "SUITE 205",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216750",
            "telephone_number": "954-966-5409",
            "fax_number": "954-966-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 HOLLYWOOD BLVD",
            "address_2": "SUITE 205",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216750",
            "telephone_number": "954-966-5409",
            "fax_number": "954-966-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L GOLDFADEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "GOLDFADEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-966-5409",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry L Gargano, A.P., L.M.T.
• Kelli Renee Garner, DNP, CRNA
• Suzette R Garrick, APRN
• Mayte Garrido
• Katherine Garrity, AUD
• Gary Shienbaum MD PA
• Martha Garzon, MD
• Melanie Gasilovskiy, RBT
• P Christine Gassant Alphonse, RN
• Andrew Steven Gast, PSYD

• Dermatology Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.