Mitchel Goodkin

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007212 Issued in NY

Practice address

1400 Wantagh Avenue
Suite 103
Wantagh, NY 11793

Phone

(631) 316-1007

NPI assigned

Jul 12, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neighborhood Family Chiropractic PLLC

  • Chiropractor
  • Wantagh, NY
  • NPI 1073496865
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1871330290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WANTAGH AVENUE",
            "address_2": "SUITE 103",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "11793",
            "telephone_number": "631-316-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WANTAGH AVENUE",
            "address_2": "SUITE 103",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "11793",
            "telephone_number": "631-316-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODKIN",
        "first_name": "MITCHEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Goetz
• Carol Gene Goldberg, PHD
• Carol Golden-Cuomo, LCSW
• Sara Emily Goldstein
• Alexandra Good
• Donna Goodrich-Tahhan, LCSW
• Cheryl Goremusandu
• Karen Gorman, LCSW
• Metaxia Goutis, LMSW
• Susan M Graber, MS

• Chiropractor in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.