Gold Coast Rehabilitation Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GOLD COAST REHABILITATION MEDICINE

Practice address

43 Palmer Ave Apt a
Stamford, CT 06902-5307

Phone

(203) 517-9332

NPI assigned

Mar 13, 2013

Organization subpart

No

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

Authorized official

Name

Robert R Blizzard III

Title

Owner

Phone

(203) 517-9332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1942541099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 PALMER AVE APT A",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069025307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 PALMER AVE APT A",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069025307",
            "telephone_number": "203-517-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST REHABILITATION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "BLIZZARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-517-9332",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Evan Glucksman, LATC
• Jansi Gnanasekaran, MD
• Susanne Godsey, PA-C
• Yashvi Gogri
• Gold Coast Plastic Surgery and Laser Center, LLC
• Jessica Rochelle Goldberg, LMSW
• Jodie Lynn Goldberg, LMSW
• Paul Aaron Goldberg, MD
• Erica D Goldberger, M.D.
• Andrew Golden, MA, LPC

• Specialist in Stamford, CT
• Providers in Stamford, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.