DR. MARK JASON GOLDMAN (NPI# 1053512285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053512285 |
| Entity Type | Individual |
| Full Name | DR. MARK JASON GOLDMAN |
| Credential | MD |
| Practice Address |
61 Southern Blvd Nesconset NY 11767-1089 |
| Mailing Address |
61 E Main St Bay Shore NY 11706-8366 |
| Practice Telephone | 6316591800 |
| Practice Fax Number | 6313824836 |
| Mailing Telephone | 6316591600 |
| Mailing Fax Number | 6316655870 |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2014-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
239823 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972942761 | Mark Adam Goldman | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2013-06-14 |
| 1407111560 | Mark Allen Goldman | Dentist | 2995 Churchland Blvd, Suite A, Chesapeake, VA 23321-5642 | 2012-07-05 |
| 1740335579 | Mark David Goldman | Internal Medicine | 110 Irving St Nw, Suite 4b1, Washington, DC 20010-2976 | 2007-01-24 |
| 1144398298 | Mark Goldman | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-30 |
| 1740399328 | Mark P Goldman | Clinical Neuropsychologist | 222 Sidney Baker St S, Suite 500, Kerrville, TX 78028-5994 | 2006-08-29 |
| 1225044423 | Mark J Goldman | Radiology | 990 Stewart Ave, Garden City, NY 11530-4822 | 2006-07-31 |
| 1215997846 | Mark R Goldman | Specialist | 2000 Washington St, Suite 562, Newton, MA 02462-1650 | 2006-03-27 |
| Street Address |
61 SOUTHERN BLVD |
| City | NESCONSET |
| State | NY |
| Zip Code | 11767-1089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891816245 | Syeda Tanzia Hossain | Internal Medicine | 61 Southern Blvd, Nesconset, NY 11767-1089 | 2007-04-03 |
| 1598199432 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 61 Southern Blvd, Nesconset, NY 11767-1089 | 2013-08-28 |
| 1679849764 | Jenny Lam | Internal Medicine | 61 Southern Blvd, Nesconset, NY 11767-1089 | 2012-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183877 | Robert Walter Hickey | Pharmacist | 115 Sheppard Ln, Nesconset, NY 11767 | 2017-06-08 |
| 1730621517 | James Remien | Massage Therapist | 62 Lake Ave South, Suite C, Nesconset, NY 11767 | 2016-11-10 |
| 1063788578 | Stacy Lynne Heuschneider | Nurse Practitioner | 48 Locust Drive, Nesconset, NY 11767 | 2012-03-29 |
| 1538485511 | Christina Ferlise-clark | Social Worker | 206 Nichols Rd, Nesconset, NY 11767 | 2010-04-15 |
| 1982843017 | Sharon Frances Devivo | Registered Nurse | 45 Rockey Point Road, Middle Island, NY 11767 | 2009-02-12 |
| 1649429523 | Justin Tate | Occupational Therapist | 14 Suburban Lane, Nesconset, NY 11767 | 2008-09-16 |
| 1386801520 | Helene Ann Hopkins Farley | Registered Nurse | 65 Tiffany Way, Nesconset, NY 11767 | 2008-05-16 |
| 1992978456 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 200 A Gibbs Pond Rd, Nesconset, NY 11767 | 2008-04-07 |
| 1205019403 | Sherrie Glasser Physical Therapy/john Douglas Pta | Specialist | 5 Browns Rd, Nesconset, NY 11767 | 2007-12-11 |
| 1710109665 | Chiropractic Associates of Long Island PC | Chiropractor | 195 Smithtown Blvd, Ste 105, Nesconset, NY 11767 | 2007-05-02 |
| Find all providers in zip 11767 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679849764 | Jenny Lam | Internal Medicine | 61 Southern Blvd, Nesconset, NY 11767-1089 | 2012-03-22 |
| 1962646091 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.