Provider Type Icon

GOLDMAN DERMATOLOGY PLLC NPI 1154311900


NPI Information

NPI: 1154311900
Provider Name: GOLDMAN DERMATOLOGY, PLLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 33D1048988

Address:
150 BROADWAY
SUITE 1110
NEW YORK, NY
ZIP 10038
Phone: (212) 962-1115
Get Directions

GOLDMAN DERMATOLOGY, PLLC is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GOLDMAN DERMATOLOGY, PLLC NPI is 1154311900. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 BROADWAY
SUITE 1110
NEW YORK, NY
ZIP 10038-381
Phone: (212) 962-1115
Fax: (212) 962-1246

The provider's authorized official is Barry D Goldman .
The authorized official title is Owner and has the following contact phone number (212) 962-1115.

The CLIA number assigned to this NPI record is 33D1048988 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/24/2005 and was last updated on 5/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist188106-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WCW741MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.