Individual provider Active NPI

Donald Niles Goldschein, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brooklyn, NY
National Provider Identifier
1962595132
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
040353 Issued in NY
Practice address
4901 Fort Hamilton Parkway
Brooklyn, NY 11219-0397
Phone
(718) 438-3701
Fax
(718) 854-7108
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 040353 NY Primary

Addresses

Primary practice location

4901 Fort Hamilton Parkway
Brooklyn, NY 11219-0397

Mailing address

4901 Fort Hamilton Parkway
Brooklyn, NY 11219-0397
Phone (718) 438-3701

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150211000595 NY Order and Referring Only - DentistPractitioner - Dentist 3476878695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040353NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1962595132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 FORT HAMILTON PARKWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112190397",
            "telephone_number": "718-438-3701",
            "fax_number": "718-854-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 FORT HAMILTON PARKWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112190397",
            "telephone_number": "718-438-3701",
            "fax_number": "718-854-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSCHEIN",
        "first_name": "DONALD",
        "middle_name": "NILES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "040353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.