Individual provider Active NPI

Martin Philip Goldman, M.D.

  • Internal Medicine Physician
  • New Rochelle, NY
National Provider Identifier
1972695997
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
139295 Issued in NY
Practice address
838 Pelhamdale Ave
New Rochelle, NY 10801-1032
Phone
(914) 632-3333
Fax
(914) 632-4920
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 139295 NY Primary

Addresses

Primary practice location

838 Pelhamdale Ave
New Rochelle, NY 10801-1032

Mailing address

838 Pelhamdale Ave
New Rochelle, NY 10801-1032
Phone (914) 632-3333

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070517000354 NY Practitioner - Internal Medicine 2365549854 Reassigns benefits to 1 organization
Practice locations: New Rochelle, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Calvary Hospital Inc CurrentSince Oct 1, 2005 Accepting new patients
Calvary Hospital Inc CurrentSince Oct 1, 2005 Accepting new patients

Locations

1740 Eastchester Rd
Bronx, NY 10461
Phone (718) 518-2000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972695997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 PELHAMDALE AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011032",
            "telephone_number": "914-632-3333",
            "fax_number": "914-632-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 PELHAMDALE AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011032",
            "telephone_number": "914-632-3333",
            "fax_number": "914-632-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "MARTIN",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "139295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.