NPIMap

Organization Active NPI

David a. Goldman MD, LLC

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1801144183
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME95657 Issued in FL
Legal business name
DAVID A. GOLDMAN MD, LLC
Practice address
3502 Kyoto Gardens Dr Ste B
Palm Beach Gardens, FL 33410
Phone
(561) 630-7120
Fax
(561) 630-7122
NPI assigned
Aug 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
David A Goldman, MDNPI 1871538116
Title
MGMR
Phone
(561) 630-7120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME95657 FL Primary

Addresses

Primary practice location

3502 Kyoto Gardens Dr Ste B
Palm Beach Gardens, FL 33410

Mailing address

3502 Kyoto Gardens Dr Ste B
Palm Beach Gardens, FL 33410-2899
Phone (561) 630-7120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121030000378 FL Part B Supplier - Clinic/Group Practice 0143470088 Receives reassigned benefits from 6 practitioners
Practice locations: Palm Beach Gardens, FL; Stuart, FL

National Provider Directory

National Provider Directory

Locations

3502 Kyoto Gardens Dr
Ste B
Palm Beach Gardens, FL 33410
Phone (561) 630-7120

Interoperability endpoints

  • FHIR API: https://goldman.mmi.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1801144183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 KYOTO GARDENS DR STE B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102899",
            "telephone_number": "561-630-7120",
            "fax_number": "561-630-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 KYOTO GARDENS DR STE B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-630-7120",
            "fax_number": "561-630-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. GOLDMAN MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MGMR",
        "authorized_official_telephone_number": "561-630-7120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME95657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.