Cough Medical Care of Li PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

128390 Issued in NY

Legal business name

COUGH MEDICAL CARE OF LI PC

Doing business as

Allergy & Asthma Care of LI

Practice address

242 Merrick Rd
Suite 401
Rockville Centre, NY 11570-5254

Phone

(516) 536-7336

Fax

(516) 536-7650

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stanley Goldstein, MDNPI 1548343304

Title

Ceo

Phone

(516) 536-7336

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Allergy & Asthma Care of LI Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley Goldstein, MD

  • Allergy & Immunology Physician
  • Rockville Centre, NY
  • NPI 1548343304
  NPD Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1699959908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 MERRICK RD",
            "address_2": "SUITE 401",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705254",
            "telephone_number": "516-536-7336",
            "fax_number": "516-536-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MERRICK RD",
            "address_2": "SUITE 401",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705254",
            "telephone_number": "516-536-7336",
            "fax_number": "516-536-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUGH MEDICAL CARE OF LI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-536-7336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "128390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00489890",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Asthma Care of LI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• September Royelle Cooper, LPN
• Alora Dannon Corr, PHD, BCBA, LBA
• Alexander J Corsair, DMD
• Anthony Corso, MD
• Grace Costa, PMHNP
• Olivia Coughlin
• Stephen Covey, M.D.
• Eleanor Cramer, RN
• Brian Crane, DPT
• John Crepsac, LCSW

• Allergy & Immunology Physician in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Allergy & Immunology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.