DR. EDWARD A GOTFRIED (NPI# 1275657413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275657413 |
| Entity Type | Individual |
| Full Name | DR. EDWARD A GOTFRIED |
| Credential | DO |
| Practice Address |
Northern Blvd Academic Health Care Center Ny Institute of Technology Old Westbury NY 11568-8000 |
| Practice Telephone | 5166861300 |
| Practice Fax Number | 5166867890 |
| Mailing Telephone | 5166861300 |
| Mailing Fax Number | 5166867890 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 240165 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI NUMBER | 1275657413 | 01 |
| NY | GROUP NPI NUMBER | 1821048612 | 01 |
| Street Address |
NORTHERN BLVD ACADEMIC HEALTH CARE CENTER NY INSTITUTE OF TECHNOLOGY |
| City | OLD WESTBURY |
| State | NY |
| Zip Code | 11568-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427047992 | Nancy A Bono | Family Medicine | Northern Blvd, Academic Health Care Center Ny Institute of Technology, Old Westbury, NY 11568-8000 | 2005-10-18 |
| 1861759631 | Kyle Omar Corbett | Physical Therapist | Northern Blvd, Old Westbury, NY 11568-3532 | 2012-04-18 |
| 1326354382 | Patricia Chute | Audiologist | Northern Blvd, Academic Health Care Center-nyit, Old Westbury, NY 11568-8000 | 2010-08-27 |
| 1316108319 | Jayme D Mancini | Neuromusculoskeletal Medicine & OMM | Northern Blvd, Nyit Academic Health Care Center, Old Westbury, NY 11568-8000 | 2008-06-23 |
| 1942486477 | Ling Wan-albert | Occupational Therapist | Northern Blvd, Academic Health Care Center Nyit, Old Westbury, NY 11568 | 2008-01-15 |
| 1053405498 | William Raymond Blazey | Family Medicine | Northern Blvd, Academic Health Care Center, Old Westbury, NY 11568-8000 | 2006-10-02 |
| 1447367685 | To Shan Li | Neuromusculoskeletal Medicine & OMM | Northern Blvd, Academic Health Care Center, Nycom-nyit, Old Westbury, NY 11568-8000 | 2006-08-24 |
| 1902828916 | Sheldon C Yao | Family Medicine | Northern Blvd, Academic Health Care Center Ny Institute of Technology, Old Westbury, NY 11568-8000 | 2006-07-25 |
| 1063446540 | Marsha S Kogut | Speech-Language Pathologist | Northern Blvd, Academic Health Care Center Ny Institute of Technology, Old Westbury, NY 11568-8000 | 2006-07-10 |
| 1801828231 | Edward Cho | Emergency Medicine | Northern Blvd, Academic Health Care Center-ny Institute of Technology, Old Westbury, NY 11568-8000 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679814198 | Margaret Anne Trosko | Registered Nurse | 11 Bacon Road, Old Westbury, NY 11568 | 2013-03-07 |
| 1790054278 | Parviz Jarrahy | Obstetrics & Gynecology | 25 Fox Hollow Ln, Old Westbury, NY 11568 | 2011-12-29 |
| 1841591765 | Jack Martin Shapiro | Otolaryngology | 147 Bacon Rd, Old Westbury, NY 11568 | 2010-11-09 |
| 1548411473 | Shari Allyson Gessner | Physical Therapist | Academic Health Care Center-nyit Northern Blvd, Old Westbury, NY 11568 | 2008-10-09 |
| 1043471378 | Patricia E Happel | Family Medicine | Nycom Academic Health Care Center, Northern Blvd, Old Westbury, NY 11568 | 2008-06-19 |
| 1396940383 | Bhuma Krishnamachari | Genetic Counselor, MS | Academic Health Care Center, New York Institute of Technology, Northern Blvd, Old Westbury, NY 11568 | 2007-06-19 |
| 1669434387 | Maria M. Plummer | Pathology | Bldg 1 Northern Blvd, Nycom, Old Westbury, NY 11568 | 2006-04-06 |
| 1811983034 | Todd Cohen | Internal Medicine | Northern Blvd At Valentines Lane, Riland Healthcare Center - Nyit, Old Westbury, NY 11568 | 2005-09-22 |
| 1316469315 | Nicole Marie Moreno | Specialist/Technologist | Northern Boulevard, P.o. Box 8000, Old Westbury, NY 11568 | 2017-07-11 |
| 1851658884 | Samana Khan | Occupational Therapist | Northern Boulevard, Nyit College of Osteopathic Medicine, Old Westbury, NY 11568 | 2012-04-16 |
| Find all providers in zip 11568 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
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|---|---|---|---|---|
| 1093321168 | Fernando Andres Angarita Celis | Surgery | Rosuell Park Comprehensive Cancer Center / Elm & Carlto, Streets / Scott Bieler Clinical Services Center 6th Fl, Buffalo, NY 14263 | 2020-09-23 |
| 1174147979 | North Shore-lij Medical Group At Huntington PC | Surgery | 2001 Marcus Ave Ste S50, New Hyde Park, NY 11042-1039 | 2020-06-08 |
| 1679194468 | Sowmya Sreekanth | Surgery | 124 Hutchinson Blvd, Mount Vernon, NY 10552-2510 | 2020-05-03 |
| 1558997015 | Health Quest Medcial Practice, PC | Surgery | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-03-17 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1669014213 | Jason Euseph Copeland | Surgery | 665 Elm and Carlton Street Elm and Carlton Street, Buffalo, NY 14263-0001 | 2019-10-16 |
| 1023678984 | Core Surgical | Surgery | 133 E 58th St Ste 703, New York, NY 10022-1138 | 2019-06-13 |
| 1568923134 | Thompson Surgical Pllc | Surgery | 77 Alpine Way, South Huntington, NY 11746-4610 | 2019-03-27 |
| 1851863377 | Alice Chia-chi Wei | Surgery | 1275 York Ave Ste C-866a, New York, NY 10065-6007 | 2018-12-21 |
| Find all providers with the same taxonomy | ||||
| City | OLD WESTBURY |
| Zip Code | 11568 |
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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.