Individual provider Active NPI

Vinod K Goldsmith, PT

  • Physical Therapist
  • New City, NY
National Provider Identifier
1710224845
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
130 N Main St
New City, NY 10956-3821
Phone
(845) 799-2165
Fax
(845) 499-2166
NPI assigned
Jan 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

130 N Main St
New City, NY 10956-3821

Mailing address

1656 E 12TH St
2 Floor
Brooklyn, NY 11229-1012
Phone (718) 998-3020

Other identifiers 1

IdentifierTypeStateIssuer
034228OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200331000417 NY Practitioner - Physical Therapist in Private Practice 7719316546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esd PT OT and SLP PLLCGroup PAC ID 5991044125, 77 clinicians

Practice addresses (Care Compare)

2632 Atlantic Ave
Brooklyn, NY 11207-2425
Phone (718) 473-3808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Visiting PT OT Services PLLC Physical Therapist CurrentSince Jan 15, 2022 Accepting new patients
Patriot Family Medical Associates PLLC PastSince May 30, 2016 Accepting new patients
Leena Physical Therapy PC Physical Therapist Past Accepting new patients
Mission Rehab PT PC Physical Therapist Past Accepting new patients

Locations

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

2632 Atlantic Ave
#13202
Brooklyn, NY 11207

85 Roosevelt Ave
Valley Stream, NY 11581
Phone (516) 791-9500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1710224845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 E 12TH ST",
            "address_2": "2 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291012",
            "telephone_number": "718-998-3020",
            "fax_number": "718-998-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563821",
            "telephone_number": "845-799-2165",
            "fax_number": "845-499-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "VINOD",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "034228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.