Active NPI
David Goldminz, M.D.
- MOHS-Micrographic Surgery Physician
- North Andover, MA
National Provider Identifier
1679678601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 75004
- Practice address
- 538 Turnpike St
North Andover, MA 01845-5812 - Phone
- (978) 683-9201
- Fax
- (978) 686-2770
- NPI assigned
- Sep 14, 2006
- 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 |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 8661 | NH | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 75004 | MA | Primary |
Addresses
Primary practice location
538 Turnpike St
North Andover, MA 01845-5812
Mailing address
280 Merrimack St Ste 311
Lawrence, MA 01843-1779
Phone (978) 691-5690
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070004481 | Other | MA | RAILROAD MEDICARE |
| 0106548Y0NH01 | Other | NH | ANTHEM NEW HAMPSHIRE |
| 112292 | Other | MA | AETNA |
| P00352754 | Other | NH | RAILROAD MEDICARE |
| 4308 | Other | MA | HARVARD |
| 017606 | Other | ME | ANTHEM MAINE |
| 075004 | Other | MA | TUFTS |
| J12017 | Other | MA | BCBS MASSACHUSETTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8661 | NH | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Dermatology Associates, PC | Mohs-Micrographic Surgery | Past | Accepting new patients |
| Northeast Dermatology Associates | Past | Accepting new patients | |
| Northeast Dermatology Associates, PC | Mohs-Micrographic Surgery | Past | Accepting new patients |
| Nedab LLC | Past | Accepting new patients |
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.
-
- Dermatology Physician
- Beverly, MA
- NPI 1861864100
-
- Dermatology Physician
- Newburyport, MA
- NPI 1245510049
-
- Dermatology Physician
- Beverly, MA
- NPI 1407258494
Mohs-Micrographic Surgery
-
- Dermatology Physician
- Beverly, MA
- NPI 1699180620
Mohs-Micrographic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1679678601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 MERRIMACK ST STE 311",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431779",
"telephone_number": "978-691-5690",
"fax_number": "978-691-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 TURNPIKE ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455812",
"telephone_number": "978-683-9201",
"fax_number": "978-686-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMINZ",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NH",
"license": "8661",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "MA",
"license": "75004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070004481",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM NEW HAMPSHIRE",
"identifier": "0106548Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "112292",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00352754",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "4308",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM MAINE",
"identifier": "017606",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "075004",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MASSACHUSETTS",
"identifier": "J12017",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.