DR. KIM E GOLDMAN D.M.D. NPI 1689634404

NPI Information

NPI: 1689634404
Provider Name: DR. KIM E GOLDMAN, D.M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Organization: NEW YORK UNIVERSITY

PECOS Registration: Yes

Address:
NYU SCHOOL OF DENTISTRY
345 EAST 24TH STREET
NEW YORK, NY
ZIP 10010
Phone: (212) 998-9660
Get Directions

DR. Kim E Goldman, D.M.D. is an oral and maxillofacial surgery dentist in New York, NY with 35 years of experience. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Kim E Goldman, D.M.D. NPI is 1689634404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

NYU SCHOOL OF DENTISTRY
345 EAST 24TH STREET
NEW YORK, NY
ZIP 10010-086
Phone: (212) 998-9660

The NPI 1689634404 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 enumeration date for this NPI number is 3/24/2006 and was last updated on 11/27/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		06323	KENTUCKY	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	42152	CALIFORNIA	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	6323	KENTUCKY	No
4	1223S0112X	Dentist	Oral and Maxillofacial Surgery	056681	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	03658220	MEDICAID	NEW YORK
2	200365950	MEDICAID	INDIANA
3	64063233	MEDICAID	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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