Active NPI
James Goetz
- Podiatrist
- N Babylon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004737
- Practice address
- 1428 Deer Park Ave
N Babylon, NY 11703-1611 - Phone
- (631) 586-3388
- Fax
- (631) 586-3394
- NPI assigned
- Jan 26, 2006
- Last updated
- Feb 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004737 | NY | Primary |
Addresses
Primary practice location
1428 Deer Park Ave
N Babylon, NY 11703-1611
Mailing address
81 W Bayberry Rd
Islip, NY 11751-4912
Phone (631) 277-8720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01236960 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004737 | NY | MD | Podiatrist |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- North Babylon, NY
- NPI 1669650933
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- North Babylon, NY
- NPI 1376743633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1861462269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 W BAYBERRY RD",
"city": "ISLIP",
"state": "NY",
"postal_code": "117514912",
"telephone_number": "631-277-8720",
"fax_number": "631-277-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 DEER PARK AVE",
"city": "N BABYLON",
"state": "NY",
"postal_code": "117031611",
"telephone_number": "631-586-3388",
"fax_number": "631-586-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETZ",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01236960",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in N Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.