Kenneth Neil Goldman, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

120847 Issued in NY

Practice address

1050 Park Ave
New York, NY 10028-1031

Phone

(212) 860-3977

Fax

(212) 876-3555

NPI assigned

Jul 18, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1912349010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281031",
            "telephone_number": "212-860-3977",
            "fax_number": "212-876-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281031",
            "telephone_number": "212-860-3977",
            "fax_number": "212-876-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "KENNETH",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "120847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Goldman, M.D.
• Johanna Goldman
• Judith Gail Goldman, MSW
• Katerina Goldman
• Keith Goldman, DMD, MS
• Kim E Goldman, D.M.D.
• Lee Goldman, M.D.
• Lindsey Wallace Goldman, PHD
• Martin Goldman, M.D.
• Maureen Goldman, M.D.

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.