John P Goutos, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

164125 Issued in NY

Practice address

22 N Service Rd BLDG 22a
JFK Int'L Airport
Jamaica, NY 11430-1618

Phone

(718) 244-1644

Fax

(718) 244-1622

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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 and National Provider Directory roles.

• Excel Urgent Care of East Northport, PLLC

  • Urgent Care Clinic/Center
  • East Northport, NY
  • NPI 1881978021
  NPD
• Excel Urgent Care of Wantagh PLLC

  • Urgent Care Clinic/Center
  • Wantagh, NY
  • NPI 1184067936
  NPD
• Throgs Neck Urgent Medical Care PLLC

  • Urgent Care Clinic/Center
  • Yonkers, NY
  • NPI 1154684207
  NPD
• Airport Medical Offices at JFK

  • Family Medicine Physician
  • Jamaica, NY
  • NPI 1871684860
  NPD (past)
• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889

  Internal Medicine

  NPD (past)
• CMC Occupational Health Services, PC

  • Specialist
  • Jamaica, NY
  • NPI 1649473471
  NPD (past)
• Olshanetskiy and Goutos Medicine, PC

  • Sleep Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1871788802
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1972664829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N SERVICE RD BLDG 22A",
            "address_2": "JFK INT'L AIRPORT",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114301618",
            "telephone_number": "718-244-1644",
            "fax_number": "718-244-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N SERVICE RD BLDG 22A",
            "address_2": "JFK INT'L AIRPORT",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114301618",
            "telephone_number": "718-244-1644",
            "fax_number": "718-244-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUTOS",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "164125",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "164125",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "164125",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD041171E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0000153322807",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "030052",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "874335",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2590520",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bijoya Goswami
• Xyrell Gotis, PT
• Shanique Ameerah Goulbourne, LMSW
• Adina Gould, MSPT
• Beverly Constance Gould, LCSW, PSY.D
• Tashekia Gowan, LPN
• Vivek Goyal, OD
• Elliott Juan Goytia, MD
• Graciceci Inc
• Renee Ricafrente Grageda, MD

• Internal Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.