NPIMap

Organization Active NPI

Antonio Casanova DDS & Bruce Goldman DMD PLLC

  • Dental Clinic/Center
  • Garden City, NY
National Provider Identifier
1609267780
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
042915 Issued in NY
Legal business name
ANTONIO CASANOVA DDS & BRUCE GOLDMAN DMD PLLC
Practice address
901 Stewart Ave
Suite 200
Garden City, NY 11530-4893
Phone
(516) 294-0202
Fax
(516) 294-3564
NPI assigned
Feb 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Dr. Bruce Goldman, D.M.D.NPI 1851519847
Title
Co-Owner
Phone
(516) 294-0202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 042915 NY Primary

Addresses

Primary practice location

901 Stewart Ave
Suite 200
Garden City, NY 11530-4893

Mailing address

901 Stewart Ave
Suite 200
Garden City, NY 11530-4893
Phone (516) 294-0202

National Provider Directory

National Provider Directory

Locations

901 Stewart Ave
Ste 200
Garden City, NY 11530
Phone (516) 294-0202

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1609267780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "address_2": "SUITE 200",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893",
            "telephone_number": "516-294-0202",
            "fax_number": "516-294-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "address_2": "SUITE 200",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893",
            "telephone_number": "516-294-0202",
            "fax_number": "516-294-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO CASANOVA DDS & BRUCE GOLDMAN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "516-294-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "042915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.