Organization Active NPI

Cary M. Golub DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Long Beach, NY
National Provider Identifier
1811170392
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
005037 Issued in NY
Legal business name
CARY M. GOLUB DPM PC
Practice address
854 E Broadway
Long Beach, NY 11561-4758
Phone
(516) 889-2200
Fax
(516) 889-4444
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Cary M. Golub, DPMNPI 1356344550
Title
President
Phone
(516) 889-2200

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 005037 NY Primary

Addresses

Primary practice location

854 E Broadway
Long Beach, NY 11561-4758

Mailing address

854 E Broadway
Long Beach, NY 11561-4758
Phone (516) 889-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080424000620 NY Part B Supplier - Clinic/Group Practice 7214015734 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, NY
O20100930067370 NY DME Supplier - Physician - Podiatry 7214015734 Practice locations: Long Beach, NY

National Provider Directory

National Provider Directory

Locations

854 E Broadway
Long Beach, NY 11561
Phone (516) 889-2200

Practitioners & affiliated clinicians

Practitioners 1

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": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1811170392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 E BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614758",
            "telephone_number": "516-889-2200",
            "fax_number": "516-889-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 E BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614758",
            "telephone_number": "516-889-2200",
            "fax_number": "516-889-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY M. GOLUB DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "GOLUB",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-889-2200",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "005037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.