DR. FRED GOODSTEIN (NPI# 1396875290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396875290 |
Entity Type | Individual |
Full Name | DR. FRED GOODSTEIN |
Credential | D.D.S. |
Practice Address |
1575 Broadway Suite 1 Hewlett NY 11557-1428 |
Practice Telephone | 5162953090 |
Practice Fax Number | 5163747172 |
Mailing Telephone | 5162953090 |
Mailing Fax Number | 5163747172 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
0301701 | NY | Dental Providers |
Street Address |
1575 BROADWAY SUITE 1 |
City | HEWLETT |
State | NY |
Zip Code | 11557-1428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679570907 | Clifford Joel Bryer | Pediatrics | 1575 Broadway, Hewlett, NY 11557-1428 | 2005-07-01 |
1649628165 | Engin Sangiray Dds PC | Dentist | 1575 Broadway, Hewlett, NY 11557-1457 | 2016-05-25 |
1518323237 | North Shore Long Island Jewish Healthcare Inc. | Pediatrics | 1575 Broadway, Hewlett, NY 11557-1457 | 2016-01-11 |
1295016905 | Andrea J Botar | Dentist | 1575 Broadway, Hewlett, NY 11557-1457 | 2011-09-08 |
1588945216 | Rose Hill Dental Pllc | Clinic/Center | 1575 Broadway, Hewlett, NY 11557 | 2011-09-08 |
1982739314 | Barry L. Behrensdds Fred Goodsteinddspc | Dentist | 1575 Broadway, Ste. 1, Hewlett, NY 11557-1428 | 2007-02-23 |
1558403758 | Barry Lewis Behrens | Dentist | 1575 Broadway, Hewlett, NY 11557-1428 | 2007-02-13 |
1629165519 | Debbie Ekstrom | Nurse Practitioner | 1575 Broadway, Hewlett, NY 11557-1428 | 2006-10-10 |
1982687406 | Jeffrey Neal Olin | Pediatrics | 1575 Broadway, Suite 2, Hewlett, NY 11557-1428 | 2005-11-29 |
1700876513 | Brian Seth Blinderman | Pediatrics | 1575 Broadway, Suite 2, Hewlett, NY 11557-1428 | 2005-10-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366073116 | Christina M Ganci | Social Worker | 1355 Noel Avenue, Hewlett, NY 11557 | 2020-01-30 |
1750945614 | Betsy Lantner Md Obgyn Pllc | Obstetrics & Gynecology | 1571 Broadway, Hewlett, NY 11557 | 2019-04-26 |
1699216671 | Heather Murphy | Specialist | 383 Hamilton Ave, Hewlett, NY 11557 | 2017-03-10 |
1891070561 | Howard Shulman | Obstetrics & Gynecology | 178 Torquay Pl, Hewlett, NY 11557 | 2011-10-13 |
1467731927 | Kidz Discovery Inc. | Early Intervention Provider Agency | 1234 West Broadway Ste. 201, Hewlett, NY 11557 | 2011-08-15 |
1376844324 | Martin J. Evans | Pediatrics | 198 Woodside Dr., Hewlett, NY 11557 | 2010-11-08 |
1154566511 | Beth Marlene Swedarsky | Speech-Language Pathologist | 157 Harris Avenue, Hewlett, NY 11557 | 2008-12-12 |
1801074992 | Jay Horowitz | Social Worker | 1104 Westwood Rd, Hewletter, NY 11557 | 2008-01-31 |
1134126188 | Steven Bruce Epstein | Podiatrist | 1175 W Broadway, Suite 10, Hewlett, NY 11557 | 2005-07-06 |
1063414282 | Richard Louis Markowitz | Internal Medicine | 1553 Broadway, Hewlett, NY 11557 | 2005-06-01 |
Find all providers in zip 11557 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982739314 | Barry L. Behrensdds Fred Goodsteinddspc | Dentist | 1575 Broadway, Ste. 1, Hewlett, NY 11557-1428 | 2007-02-23 |
1558403758 | Barry Lewis Behrens | Dentist | 1575 Broadway, Hewlett, NY 11557-1428 | 2007-02-13 |
1063528800 | Marc Charles Levine | Dentist | 1800 Rockaway Ave, Suite 209, Hewlett, NY 11557-1665 | 2006-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467052068 | Tamar Friling | Dentist | 247 3rd Ave Rm 203, New York, NY 10010-7453 | 2020-11-01 |
1851901896 | Kristen Brocavich | Dentist | 150 Islip Ave Ste 11, Islip, NY 11751-3222 | 2020-08-04 |
1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
1346710241 | Bedford Hills Dental P.C. | Dentist | 3 Depot Plz, Bedford Hills, NY 10507-1807 | 2018-12-04 |
1093295735 | Giffords Dental, P.C. | Dentist | 79 Giffords Ln, Staten Island, NY 10308-2411 | 2018-08-21 |
1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
1639655764 | Kiss Dental Care Pllc | Dentist | 425 Robinson Ave Ste 4, Newburgh, NY 12550-3303 | 2018-07-11 |
1689189524 | Mid Island Dental Specialists, PC | Dentist | 400 S Oyster Bay Rd Ste 201, Hicksville, NY 11801-3500 | 2017-12-13 |
1477068906 | Mohammad Reshad | Dentist | 230 Riverside Dr Apt 10m, New York, NY 10025-6192 | 2017-12-06 |
1043724479 | Ioana Chesnoiu Matei | Dentist | 630 W 168th St Rm 7-200c, New York, NY 10032-3725 | 2017-11-21 |
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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.