NPIMap

Individual provider Active NPI

Lawrence S. Goldman, MD.

  • Internal Medicine Physician
  • Holbrook, NY
National Provider Identifier
1609988211
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
164959-1 Issued in NY
Practice address
203 Union Ave
Holbrook, NY 11741-1704
Phone
(631) 585-5858
Fax
(631) 585-6362
NPI assigned
Aug 31, 2006
Last updated
Apr 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 164959-1 NY Primary

Addresses

Primary practice location

203 Union Ave
Holbrook, NY 11741-1704

Mailing address

203 Union Ave
Holbrook, NY 11741-1704
Phone (631) 585-5858

Other identifiers 18

IdentifierTypeStateIssuer
364487963OtherNYAMERICAN MEDICAL ID
49975POtherNYHIP ID
84827OtherNYVYTRA ID
P1017054OtherNYOXFORD ID
01392332MedicaidNY
094AK1OtherNYBCBS ID
1935099OtherNYFIRST HEALTH ID
433789NAOtherNYCIGNA ID
AA50422BOtherNYMDNY ID
1769226OtherNYUNITED HEALTH CARE ID
364487963OtherNYHORIZON ID
364487963OtherNYMAGNACARE ID
5193238OtherNYAMERI BEN CCN ID
4C2934OtherNYHEALTHNET ID
GL4959OtherNYATLANTIS ID
2594571OtherNYGHI ID
364487963OtherNYBEECH STREET ID
P12037461OtherNYMULTIPLAN ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510001158 NY Practitioner - Internal MedicinePractitioner - Family Practice 0648269142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Randt Medical PCGroup PAC ID 9032361464, 2 clinicians

Practice addresses (Care Compare)

203 Union Ave
Holbrook, NY 11741-1704
Phone (631) 585-5858

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
164959-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Medical PLLC Internal Medicine CurrentSince Jan 24, 2002 Accepting new patients
R&T Medical PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

285 Sills Rd
Bldg 10D
East Patchogue, NY 11772
Phone (631) 438-0777

285 Sills Rd
Bldg 5-6H
East Patchogue, NY 11772
Phone (631) 438-0777

285 Sills Rd
Ste D
East Patchogue, NY 11772
Phone (631) 438-0777

21 Eastport Manor Rd
Eastport, NY 11941
Phone (631) 325-2255

5 Eastport Manor Rd
Eastport, NY 11941
Phone (516) 325-2255

203 Union Ave
Holbrook, NY 11741
Phone (631) 585-5858

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: firstchoicemedical.lawrencegoldman@139744.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/8524/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1609988211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 UNION AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411704",
            "telephone_number": "631-585-5858",
            "fax_number": "631-585-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 UNION AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411704",
            "telephone_number": "631-585-5858",
            "fax_number": "631-585-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "LAWRENCE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "164959-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN MEDICAL ID",
            "identifier": "364487963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP ID",
            "identifier": "49975P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA ID",
            "identifier": "84827",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P1017054",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01392332",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "094AK1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH ID",
            "identifier": "1935099",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "433789NA",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY ID",
            "identifier": "AA50422B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID",
            "identifier": "1769226",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON ID",
            "identifier": "364487963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE ID",
            "identifier": "364487963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERI BEN CCN ID",
            "identifier": "5193238",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID",
            "identifier": "4C2934",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS ID",
            "identifier": "GL4959",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID",
            "identifier": "2594571",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET ID",
            "identifier": "364487963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN ID",
            "identifier": "P12037461",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

Verify at the official NPI Registry.