Individual provider Active NPI

Gary H Goldman, MD

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1790896785
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
177375 Issued in NY
Practice address
1735 York Ave Ste a
New York, NY 10128-6855
Phone
(212) 535-6100
Fax
(212) 535-3956
NPI assigned
Aug 31, 2006
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 177375 NY Primary

Addresses

Primary practice location

1735 York Ave Ste a
New York, NY 10128-6855

Mailing address

1735 York Ave Ste a
New York, NY 10128-6855
Phone (212) 535-6100

Other practice location 1

58 E 66th St
New York, NY 10021-6528
Phone (212) 535-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 9, 2023 through Nov 9, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
177375NYMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: gag2005@direct.weillcornell.org

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1790896785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 YORK AVE STE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286855",
            "telephone_number": "212-535-6100",
            "fax_number": "212-535-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 YORK AVE STE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286855",
            "telephone_number": "212-535-6100",
            "fax_number": "212-535-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 E 66th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100216528",
            "country_code": "US",
            "telephone_number": "212-535-6100",
            "fax_number": "212-535-3956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "GARY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "177375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.