Gary L Goldfarb,M.D., P.C.

Primary specialty

ContractorTaxonomy code 171W00000X

License

45398 Issued in MA

Legal business name

GARY L GOLDFARB,M.D., P.C.

Practice address

101 Cambridge St
Suite 380
Burlington, MA 01803-3766

Phone

(781) 221-0404

Fax

(781) 221-7165

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary L Goldfarb, M.D.

Title

Physician

Phone

(781) 221-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972648723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST",
            "address_2": "SUITE 380",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033766",
            "telephone_number": "781-221-0404",
            "fax_number": "781-221-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST",
            "address_2": "SUITE 380",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033766",
            "telephone_number": "781-221-0404",
            "fax_number": "781-221-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L GOLDFARB,M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDFARB",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "781-221-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "MA",
            "license": "45398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133795",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kameel H Garas, MD
• Dinamarie C Garcia Banigan, MD MPH
• Victoria R Garcia-Albea, NP
• Clara Garcia
• Aditya Garg, MD
• Griffin Gatley, STUDENT
• Constantina Maria Gatsonis, MS
• Jody Gaudet
• Melissa Ann Gauthier, NP
• Judith Gbadebo, MD

• All providers in Burlington, MA
• Contractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.