Active NPI
Juan C Goez, D.P.M.
- Foot Surgery Podiatrist
- Freeport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N004890
- Practice address
- 294 W Merrick Rd
Suite 8
Freeport, NY 11520-3374 - Phone
- (516) 378-8383
- Fax
- (516) 377-6991
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N004890 | NY | Primary |
Addresses
Primary practice location
294 W Merrick Rd
Suite 8
Freeport, NY 11520-3374
Mailing address
294 W Merrick Rd
Suite 8
Freeport, NY 11520-3374
Phone (516) 378-8383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01810695 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 S Central Ave
Valley Stream, NY 11580-5443
Phone (516) 632-3350
Hospital & facility affiliations
- Mount Sinai South Nassau
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 207 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 254 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004890 | NY | MD | Acupuncturist |
| N004890 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Nassau Physician Practice PC | Current | Accepting new patients | |
| Long Island Foot Care, PC | Past | Accepting new patients | |
| Family Residences and Essential Enterprises, Inc. | Past | Accepting new patients |
Locations
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
196 Merrick Rd
Oceanside, NY 11572
Phone (516) 255-1616
1 S Central Ave
Valley Stream, NY 11580
Phone (516) 632-3300
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 3
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.
-
- Surgery Physician
- Valley Stream, NY
- NPI 1962652685
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Old Bethpage, NY
- NPI 1497943757
-
- Podiatrist
- Freeport, NY
- NPI 1780802264
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1770515488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 W MERRICK RD",
"address_2": "SUITE 8",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203374",
"telephone_number": "516-378-8383",
"fax_number": "516-377-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 W MERRICK RD",
"address_2": "SUITE 8",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203374",
"telephone_number": "516-378-8383",
"fax_number": "516-377-6991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEZ",
"first_name": "JUAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N004890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01810695",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.