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SAMUEL J. GOLDMAN DO NPI 1225019169


NPI Information

NPI: 1225019169
Provider Name: SAMUEL J. GOLDMAN, DO
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
138 WEBSTER ST
MANCHESTER, NH
ZIP 03104
Phone: (603) 663-7030
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Samuel J. Goldman, DO is a geriatric medicine internal medicine in Manchester, NH with 27 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Samuel J. Goldman, DO NPI is 1225019169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduation Year:1997

The provider's business location address is:

138 WEBSTER ST
MANCHESTER, NH
ZIP 03104-512
Phone: (603) 663-7030
Fax: (603) 663-7039

The NPI 1225019169 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)

The enumeration date for this NPI number is 11/8/2005 and was last updated on 7/9/2007.


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
1207RG0300XInternal MedicineGeriatric Medicine11562NEW HAMPSHIREYes

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
1H60241MEDICARE UPIN
2RE6670MEDICARE PINNEW HAMPSHIRE
330222124MEDICAIDNEW HAMPSHIRE
4579605OTHERNEW HAMPSHIRECIGNA PIN
50406289OTHERNEW HAMPSHIREUHC PIN
6692523OTHERNEW HAMPSHIREHPHC PIN
7011562OTHERNEW HAMPSHIRETUFTS PIN
8O4YP03808NH01OTHERNEW HAMPSHIREANTHEM ACES PIN
92864160OTHERNEW HAMPSHIREAETNA PIN
10H60241OTHERNEW HAMPSHIREANTHEM REFERRING UPIN

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.