Active NPI
Barry E.Goldman MD PC
- Family Medicine Physician
- New Paltz, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 155612-1
- Legal business name
- BARRY E.GOLDMAN MD PC
- Practice address
- 66 Forest Glen Rd
New Paltz, NY 12561-2611 - Phone
- (845) 255-5450
- Fax
- (845) 255-5854
- NPI assigned
- Mar 5, 2008
- Last updated
- Mar 5, 2008
- 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. Barry Edward Goldman, MD
- Title
- President
- Phone
- (845) 255-5450
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 155612-1 | NY | Primary |
| Family Nurse Practitioner | 363LF0000X | F334111-1 | NY |
Addresses
Primary practice location
66 Forest Glen Rd
New Paltz, NY 12561-2611
Mailing address
66 Forest Glen Rd
New Paltz, NY 12561-2611
Phone (845) 255-5450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00929144 | Medicaid | NY | |
| A63475 | Other | NY | UPIN |
National Provider Directory
National Provider DirectoryLocations
66 Forest Glen Rd
New Paltz, NY 12561
Phone (845) 255-5450
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.
-
- Family Medicine Physician
- New Paltz, NY
- NPI 1992879951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1902076938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 FOREST GLEN RD",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125612611",
"telephone_number": "845-255-5450",
"fax_number": "845-255-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 FOREST GLEN RD",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125612611",
"telephone_number": "845-255-5450",
"fax_number": "845-255-5854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRY E.GOLDMAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "GOLDMAN",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-255-5450",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "155612-1",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F334111-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00929144",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "A63475",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Paltz, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.