Organization Active NPI

Susan F Goldstein DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Great Neck, NY
National Provider Identifier
1649494642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
154564 Issued in NY
Legal business name
SUSAN F GOLDSTEIN DO
Practice address
525 Northern Blvd
Suite 001
Great Neck, NY 11021-5102
Phone
(516) 487-5675
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan Freyda Goldstein, DO
Title
Owner
Phone
(516) 487-5675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X 154564 NY Primary

Addresses

Primary practice location

525 Northern Blvd
Suite 001
Great Neck, NY 11021-5102

Mailing address

525 Northern Blvd
Suite 001
Great Neck, NY 11021-5102
Phone (516) 487-5675

National Provider Directory

National Provider Directory

Locations

525 Northern Blvd
Ste 1
Great Neck, NY 11021
Phone (516) 487-5675

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649494642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 NORTHERN BLVD",
            "address_2": "SUITE 001",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215102",
            "telephone_number": "516-487-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 NORTHERN BLVD",
            "address_2": "SUITE 001",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215102",
            "telephone_number": "516-487-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN F GOLDSTEIN DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "FREYDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-487-5675",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "154564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.