Individual provider Active NPI

Matthew E Goldschmidt, D.C

  • Chiropractor
  • Merrick, NY
National Provider Identifier
1619234705
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011888 Issued in NY
Practice address
1955 Merrick Rd
Suite 105
Merrick, NY 11566-4642
Phone
(516) 623-3940
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011888 NY Primary

Addresses

Primary practice location

1955 Merrick Rd
Suite 105
Merrick, NY 11566-4642

Mailing address

1955 Merrick Rd
Suite 105
Merrick, NY 11566-4642
Phone (516) 623-3940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120924000183 NY Practitioner - Chiropractic 7618124926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1955 Merrick Rd
Suite 105
Merrick, NY 11566-4615
Phone (516) 623-3940

1955 Merrick Rd
Suite 105
Merrick, NY 11566-4642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011888NYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew E Goldschmidt DC PC Chiropractor CurrentSince Jul 24, 2012 Accepting new patients

Locations

1955 Merrick Rd
Ste 105
Merrick, NY 11566
Phone (516) 623-3940

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1619234705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MERRICK RD",
            "address_2": "SUITE 105",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664642",
            "telephone_number": "516-623-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MERRICK RD",
            "address_2": "SUITE 105",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664642",
            "telephone_number": "516-623-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSCHMIDT",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.