Individual provider Active NPI

Conrad K. Gould, D.C.

  • Chiropractor
  • Yonkers, NY
National Provider Identifier
1992248959
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012882 Issued in NY
Practice address
125 Crescent PL
Yonkers, NY 10704-1603
Phone
(914) 772-3835
NPI assigned
Nov 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012882 NY Primary

Addresses

Primary practice location

125 Crescent PL
Yonkers, NY 10704-1603

Mailing address

7157 161St St
Apt 6a
Fresh Meadows, NY 11365-4498
Phone (914) 772-3835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170113002233 NY Practitioner - Chiropractic 4183906787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Henderson Ave
Staten Island, NY 10301-2108
Phone (718) 727-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012882NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gould Chiropractic PLLC Chiropractor CurrentSince Aug 1, 2018 Accepting new patients

Locations

3200 Bronx Blvd
Bronx, NY 10467
Phone (718) 515-9807

431 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-2700

3441 Lexington Ave
Mohegan Lake, NY 10547
Phone (914) 526-0989

156 W Clarkstown Rd
New City, NY 10956
Phone (845) 356-4108

110 Henderson Ave
Staten Island, NY 10301
Phone (516) 295-1924

185 Palisade Ave
Yonkers, NY 10703
Phone (914) 375-1837

Organizations & group practices 1

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": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1992248959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 161ST ST",
            "address_2": "APT 6A",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654498",
            "telephone_number": "914-772-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CRESCENT PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041603",
            "telephone_number": "914-772-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "CONRAD",
        "middle_name": "K.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-23",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.