Organization Active NPI

Goodland Medical P.C.

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1881919710
Registry record updated Apr 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
249103 Issued in NY
Legal business name
GOODLAND MEDICAL P.C.
Practice address
6416 17TH Ave
Brooklyn, NY 11204-2739
Phone
(347) 713-5866
Fax
(718) 228-5579
NPI assigned
Apr 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2010

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

Authorized official

Name
Dr. Liming Yang, M.D.
Title
President
Phone
(718) 666-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 249103 NY Primary

Addresses

Primary practice location

6416 17TH Ave
Brooklyn, NY 11204-2739

Mailing address

1531 81St St
Brooklyn, NY 11228-3125
Phone (718) 666-7511

Other identifiers 1

IdentifierTypeStateIssuer
03063009MedicaidNY

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": "1270252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270252800000",
    "number": "1881919710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 81ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283125",
            "telephone_number": "718-666-7511",
            "fax_number": "718-228-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042739",
            "telephone_number": "347-713-5866",
            "fax_number": "718-228-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLAND MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-03",
        "last_updated": "2010-04-03",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "LIMING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-666-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "249103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03063009",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; 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.