David T Goldman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

150433 Issued in NY

Practice address

625 Montauk Hwy
Center Moriches, NY 11934-2200

Phone

(631) 878-7134

Fax

(631) 878-5118

NPI assigned

Feb 23, 2006

Last updated

May 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

New York University Medical College - NLG, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Bay Medical Care P.C.Group PAC ID 3678620275, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NYU Langone Home Health Care Home health agency, Garden City, NY, CCN 337187
• Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
• Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• South Bay Medical Care P.C.

  • Emergency Medicine Physician
  • Center Moriches, NY
  • NPI 1366569352
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Suffolk Hospital

  dba Peconic Bay Homehealth Services

  • Home Health Agency
  • Riverhead, NY
  • NPI 1932155678
  Care Compare affiliation
• NYU Langone Hospitals

  dba NYU Langone Home Health Care

  • Home Health Agency
  • Mineola, NY
  • NPI 1215931811
  Care Compare affiliation
• Tender Loving Care Health Care Services of Nassau Suffolk, LLC

  dba Tender Loving Care, an Amedisys Company

  • Home Health Agency
  • Medford, NY
  • NPI 1699715961
  Care Compare affiliation

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1952377707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MONTAUK HWY",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342200",
            "telephone_number": "631-878-7134",
            "fax_number": "631-878-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MONTAUK HWY",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342200",
            "telephone_number": "631-878-7134",
            "fax_number": "631-878-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "DAVID",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "150433",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "150433",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "150433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Marie Galletta, LMSW
• Kathleen Ganun, RN
• John Crocirto Gavencak, DC
• Christianne Gentry
• Jacqueline Grace Gil, RPA-C
• Egda M Gonzalez, LMSW
• Jose A. Gonzalez Jr., DC DPT
• Emma Kate Governale, LMSW
• Robin Grande, O.T
• Sara Greenblatt

• General Practice Physician in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.