Martin O Gottlieb MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

147430 Issued in NY

Legal business name

MARTIN O GOTTLIEB MD

Practice address

1005 Merrick Ave
North Merrick, NY 11566-1033

Phone

(718) 979-9623

Fax

(718) 980-0628

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Martin O Gottlieb, MD

Title

Owner

Phone

(718) 979-9623

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1669689659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MERRICK AVE",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115661033",
            "telephone_number": "718-979-9623",
            "fax_number": "718-980-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MERRICK AVE",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115661033",
            "telephone_number": "718-979-9623",
            "fax_number": "718-980-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN O GOTTLIEB MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-979-9623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "147430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "147430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avril Hernandez, LMT
• Lysa Marie Hoehn
• K and I Licensed Practical Nurse
• Alston Lin
• Phyllis Lofaso, CCC-SLP
• Charisse McElwaine, RD
• Isha Mehta
• Ira Lyle Miness, D.D.S.
• Brooke Mittleberg
• No Merrick Fire Dist

• Specialist in North Merrick, NY
• Providers in North Merrick, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.