Todd Russell Goldman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8323 Issued in NY

Practice address

2799 Route 112 Ste 5
Medford, NY 11763-2535

Phone

(631) 447-2299

Fax

(631) 447-2297

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Todd Goldman Chiropractor PC

  • Chiropractor
  • Medford, NY
  • NPI 1962709378
  Authorized official Same address or phone

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609942630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 ROUTE 112 STE 5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632535",
            "telephone_number": "631-447-2299",
            "fax_number": "631-447-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 ROUTE 112 STE 5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632535",
            "telephone_number": "631-447-2299",
            "fax_number": "631-447-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "TODD",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "8323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahul Gladwin, MD
• Samantha Gleeson, RN
• Gloria B. Donaii
• Kelly Ann Godberson, NP
• Jessica A Golden, LMSW
• Lester Allan Goldschmidt, MS, RPH
• Scott Louis Goldstein, DDS
• Erik Brian Gonzalez, D.D.S.
• Steven I Goodman, O.D.
• Gordon Heights Fire District

• Chiropractor in Medford, NY
• Providers in Medford, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.