Organization Active NPI

Rakesh Goyal Physician PC

Doing business as ketamine Wellness Medical Practice

  • Internal Medicine Physician
  • Garden City, NY
National Provider Identifier
1740006063
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAKESH GOYAL PHYSICIAN PC
Doing business as
ketamine Wellness Medical Practice
Practice address
520 Franklin Ave Ste 103
Garden City, NY 11530-5814
Phone
(516) 280-3842
Fax
(516) 366-1649
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Dr. Rakesh Goyal, MD
Title
President
Phone
(516) 280-3842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

520 Franklin Ave Ste 103
Garden City, NY 11530-5814

Mailing address

520 Franklin Ave Ste 103
Garden City, NY 11530-5814
Phone (516) 280-3842

Other names 1

  • ketamine Wellness Medical Practice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1740006063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 103",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305814",
            "telephone_number": "516-280-3842",
            "fax_number": "516-366-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 103",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305814",
            "telephone_number": "516-280-3842",
            "fax_number": "516-366-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAKESH GOYAL PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-280-3842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ketamine Wellness Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.