Golden Oak Medical LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GOLDEN OAK MEDICAL LLC

Practice address

334 Hillside Dr S
New Hyde Park, NY 11040-2720

Phone

(718) 598-6808

Fax

(770) 502-6792

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Kandice King

Title

Credentialing Specialist

Phone

(847) 228-3303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Practitioners 6

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

• Kunal Oak, DO

  • Physical Medicine & Rehabilitation Physician
  • Plainview, NY
  • NPI 1578983102

  DE

  Medicare reassignment Care Compare group NPD
• Maxy U Anamonye

  • Family Nurse Practitioner
  • New Castle, DE
  • NPI 1477148724
  Medicare reassignment Care Compare group NPD
• Jerrald Jingyi Chen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Wilmington, DE
  • NPI 1356760714
  Medicare reassignment Care Compare group NPD
• Joann C Aubrey Marvel, FNP

  • Nurse Practitioner
  • Lewes, DE
  • NPI 1235480211
  Medicare reassignment Care Compare group NPD
• Fenil Gandhi, MD/MHA

  • Interventional Pain Medicine Physician
  • Bristol, PA
  • NPI 1144904392

  DE

  Medicare reassignment
• Lisa Staab, CRNP

  • Primary Care Nurse Practitioner
  • Georgetown, DE
  • NPI 1447836135
  Medicare reassignment

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1720543721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 HILLSIDE DR S",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402720",
            "telephone_number": "718-598-6808",
            "fax_number": "770-502-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 HILLSIDE DR S",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402720",
            "telephone_number": "718-598-6808",
            "fax_number": "770-502-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN OAK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KANDICE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "847-228-3303"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Gold, D.O.
• Avram Goldberg, MD
• Gabrielle R Goldberg
• Julia Louise Goldberg, MD
• Tracie Alison Goldberg, MD
• Colleen Golden-Bock, LCSW, ACSW, ACHP-SW
• Barbara Golden, NP
• Jonathan Golden, MD
• Nirmala Golder, MS,RD, CDN
• Andrew Goldfarb, M.D.

• Physical Medicine & Rehabilitation Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.