Active NPI
Michael Paul Goldman, M.D.
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- 56197
- Practice address
- 20 York Street
Yale Pediatric Emergency Medicine
New Haven, CT 06511 - Phone
- (203) 393-8538
- NPI assigned
- Apr 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 56197 | CT | Primary |
| Pediatrics Physician | 208000000X | 56197 | CT |
Addresses
Primary practice location
20 York Street
Yale Pediatric Emergency Medicine
New Haven, CT 06511
Mailing address
100 York Street
Pediatric Emergency Medicine
New Haven, CT 06511
Phone (203) 393-8538
Other practice location 1
5 Perryridge Road
Greenwich Hospital
Greenwich, CT 06830
Phone (203) 863-3637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56197 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Pediatrics | Current | Accepting new patients |
| Greenwich Hospital | Current | Accepting new patients | |
| Greenwich Hospital | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
1 Park St
North Haven, CT 06504
Phone (203) 785-4643
789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471
Interoperability endpoints
- mgoldman369739@direct.ynhh.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Greenwich, CT
- NPI 1609846088
-
- Community Based Hospice Care Agency
- Stanford, CT
- NPI 1073637724
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1649597279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 YORK STREET",
"address_2": "PEDIATRIC EMERGENCY MEDICINE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-393-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK STREET",
"address_2": "YALE PEDIATRIC EMERGENCY MEDICINE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-393-8538"
}
],
"practiceLocations": [
{
"address_1": "5 Perryridge Road",
"address_2": "Greenwich Hospital",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "06830",
"country_code": "US",
"telephone_number": "203-863-3637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDMAN",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "CT",
"license": "56197",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "56197",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.