Active NPI
Robert Golightly DDS, PC
- Dental Clinic/Center
- Jackson Heights, NY
National Provider Identifier
1831738632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ROBERT GOLIGHTLY DDS, PC
- Practice address
- 3712 90TH St Apt 1
Jackson Heights, NY 11372-7862 - Phone
- (718) 429-5550
- Fax
- (718) 429-5556
- NPI assigned
- Dec 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Golightly Jr., DDS
- Title
- General Dentist
- Phone
- (917) 659-9575
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
3712 90TH St Apt 1
Jackson Heights, NY 11372-7862
Mailing address
3712 90TH St Apt 1
Jackson Heights, NY 11372-7862
Phone (718) 429-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03315299 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Jackson Heights, NY
- NPI 1164731345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759190400000",
"number": "1831738632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3712 90TH ST APT 1",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727862",
"telephone_number": "718-429-5550",
"fax_number": "718-429-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3712 90TH ST APT 1",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727862",
"telephone_number": "718-429-5550",
"fax_number": "718-429-5556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT GOLIGHTLY DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-27",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A",
"authorized_official_last_name": "GOLIGHTLY",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "917-659-9575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03315299",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.