Active NPI
Susan F Goldstein DO
- Neuromusculoskeletal Medicine & OMM Physician
- Great Neck, NY
National Provider Identifier
1649494642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 154564
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 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 DirectoryLocations
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.