Beach Primary Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BEACH PRIMARY MEDICINE PC

Practice address

340 W Park Ave
Long Beach, NY 11561-3213

Phone

(516) 431-5064

Fax

(516) 432-4516

NPI assigned

Sep 14, 2006

Last updated

Nov 12, 2014By 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

Dr. Richard Goodman, MD

Title

President

Phone

(516) 431-5064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1558466508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613213",
            "telephone_number": "516-431-5064",
            "fax_number": "516-432-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613213",
            "telephone_number": "516-431-5064",
            "fax_number": "516-432-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH PRIMARY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-431-5064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beach Terrace Care Center Inc
• Beach Wellness Physical Therapy, LLC
• Beachside Mental Health Counseling, PLLC
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• Bed Pharmacy East, LLC (Kings Pharmacy)

• Internal Medicine Physician in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.