Individual provider Active NPI

Juan C Goez, D.P.M.

  • Foot Surgery Podiatrist
  • Freeport, NY
National Provider Identifier
1770515488
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004890 Issued in NY
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

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01810695MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000081 NY Practitioner - Podiatry 8022030097 Reassigns benefits to 1 organization
Practice locations: Oceanside, NY; Bellmore, NY

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
South Nassau Physician Practice PCGroup PAC ID 9931384088, 2 clinicians

Practice addresses (Care Compare)

1 S Central Ave
Valley Stream, NY 11580-5443
Phone (516) 632-3350

Hospital & facility affiliations

  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue207
Removal of skin lesions1-10
Removal of nail tissue254
Removal or shaving of skin growth1-10
Skin biopsy24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004890NYMDAcupuncturist
N004890NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Nassau Physician Practice PC CurrentSince Oct 1, 2019 Accepting new patients
Long Island Foot Care, PC PastSince Apr 29, 2011 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.