Individual provider Active NPI

Leonid Goldin, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1770631186
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
178999 Issued in NY
Practice address
1625 Emmons Ave Medical Office
Brooklyn, NY 11235
Phone
(718) 368-2736
Fax
(718) 368-1438
NPI assigned
Jan 8, 2007
Last updated
Nov 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 178999 NY Primary

Addresses

Primary practice location

1625 Emmons Ave Medical Office
Brooklyn, NY 11235

Mailing address

1625 Emmons Ave Medical Office
Brooklyn, NY 11235
Phone (718) 368-2736

Other identifiers 1

IdentifierTypeStateIssuer
01135042MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050107000845 NY Practitioner - Internal Medicine 1951359736 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1968
Medicare assignment
May accept Medicare assignment
Group practices
A Friendly Face Akademy Corp.Group PAC ID 3779927553, 8 clinicians

Practice addresses (Care Compare)

1887 Richmond Ave
Staten Island, NY 10314-3939
Phone (718) 698-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Comprehensive Care Center Inc. Internal Medicine CurrentSince Sep 1, 2010 Accepting new patients
A Friendly Face Akademy Corp. CurrentSince Dec 27, 2023 Accepting new patients
Bay Park One Medical, PC CurrentSince May 20, 2014 Accepting new patients
Healthcare Medical PC Internal Medicine CurrentSince Feb 18, 2017 Accepting new patients
All City Family Healthcare Center, Inc. Past Accepting new patients
464 Bay Ridge Medical PLLC Internal Medicine PastSince Sep 1, 2023 Accepting new patients
Mermaid Management Inc PastSince Jun 1, 2011 Accepting new patients

Locations

1749 E 16th St
Ste 1
Brooklyn, NY 11229
Phone (718) 375-2333

2501 86th St
Brooklyn, NY 11214
Phone (718) 333-2500

1887 Richmond Ave
Ste 5
Staten Island, NY 10314
Phone (718) 698-1300

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1770631186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 EMMONS AVE MEDICAL OFFICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-368-2736",
            "fax_number": "718-368-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 EMMONS AVE MEDICAL OFFICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-368-2736",
            "fax_number": "718-368-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDIN",
        "first_name": "LEONID",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "178999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01135042",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.