Avrum H. Golub, M.D., J.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

116294 Issued in NY

Practice address

547 Asharoken Ave
Northport, NY 11768-1121

Phone

(631) 754-2259

NPI assigned

Nov 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1257033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257033600000",
    "number": "1831425479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 ASHAROKEN AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681121",
            "telephone_number": "631-754-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 ASHAROKEN AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681121",
            "telephone_number": "631-754-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUB",
        "first_name": "AVRUM",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D., J.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-01",
        "last_updated": "2009-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "NY",
            "license": "116294",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "116294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry J Goggin, RN
• Christine Going
• Christine M Goldstein, LCSW-R
• Jeffrey Goldstein, MD
• Olga Sierra Goldwurm, REGISTERED NURSE
• Patricia Slezak Gomes, PT
• Jenna Elizabeth Gomez
• John Gonzalez, BS,PH
• Andrea M Gordon, LMT, TTT
• Pamela Lauren Gore, NPFA

• Anatomic Pathology & Clinical Pathology Physician in Northport, NY
• Providers in Northport, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.