Goldman Center for Facial Plastic Surgery PLLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

9901411 Issued in NC

Legal business name

GOLDMAN CENTER FOR FACIAL PLASTIC SURGERY PLLC

Practice address

717 Greenway Rd
Suite a
Boone, NC 28607-4903

Phone

(828) 278-9230

Fax

(828) 263-5686

NPI assigned

Nov 12, 2012

Last updated

Jan 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Kozak, MBA

Title

Administrator

Phone

(828) 278-9230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neal D Goldman, MD

  • Facial Plastic Surgery Physician
  • Boone, NC
  • NPI 1376527754
  Medicare reassignment NPD

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1750625927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 GREENWAY ROAD",
            "address_2": "SUITE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28607",
            "telephone_number": "828-278-9230",
            "fax_number": "828-263-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 GREENWAY RD",
            "address_2": "SUITE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074903",
            "telephone_number": "828-278-9230",
            "fax_number": "828-263-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6318 Jessie Ln",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270129887",
            "country_code": "US",
            "telephone_number": "336-245-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDMAN CENTER FOR FACIAL PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "KOZAK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-278-9230",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NC",
            "license": "9901411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenbridge Health and Rehabilitation Center, LLC
• Glenbridge Health and Rehabiltation SNF LLC (Glenbridge Health and Rehabiltation)
• Daniel James Goble, M.D.
• Wanda Lee Godfrey, MD
• Herman A. Godwin Jr., M.D
• Neal D Goldman, MD
• Sonya Carlton Golini, FNP-BC
• Angela Margaret Gonder, RN, MSN, FNP-C
• Amanda Elizabeth Goodman, PHARMD
• Ashley Goodman, LAT, ATC

• Facial Plastic Surgery Physician in Boone, NC
• Providers in Boone, NC by specialty
• Facial Plastic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.