Organization Active NPI

Robert Golightly DDS, PC

  • Dental Clinic/Center
  • Jackson Heights, NY
National Provider Identifier
1831738632
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Dr. Robert Golightly Jr., DDSNPI 1164731345
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03315299MedicaidNY

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.