DR. TODD RUSSELL GOLDMAN (NPI# 1609942630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609942630 |
| Entity Type | Individual |
| Full Name | DR. TODD RUSSELL GOLDMAN |
| Credential | D.C. |
| Practice Address |
2799 Route 112 Ste 5 Medford NY 11763-2535 |
| Practice Telephone | 6314472299 |
| Practice Fax Number | 6314472297 |
| Mailing Telephone | 6314472299 |
| Mailing Fax Number | 6314472297 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8323 | NY | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588875777 | Todd L Goldman | Internal Medicine | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2007-05-27 |
| Street Address |
2799 ROUTE 112 STE 5 |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396857660 | Island Musculoskeletal Care, M.d., P.C. | Chiropractor | 2799 Route 112 Ste 5, Medford, NY 11763-2535 | 2006-08-31 |
| 1164872669 | Illari Physcial Therapy P.C. | Clinic/Center | 2799 Route 112 Ste 5, Medford, NY 11763-2535 | 2016-06-15 |
| 1962709378 | Dr. Todd Goldman Chiropractor PC | Chiropractor | 2799 Route 112 Ste 5, Medford, NY 11763-2535 | 2011-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033620687 | Steve Issac Santoni | Chiropractor | 4149 S Pacific Hwy Ste 434, Medford, OR 97501-9104 | 2017-10-22 |
| 1568984714 | Trisha Anne Sileo | Chiropractor | 99 Taunton Rd # 101, Medford, NJ 08055-9362 | 2017-07-10 |
| 1366824450 | Johann L. Towne | Chiropractor | 945 Town Centre Dr Ste C, Medford, OR 97504-6190 | 2015-06-24 |
| 1073934204 | Degre Chiropractic LLC | Chiropractor | 92 High St Ste Dh32, Medford, MA 02155-3843 | 2013-12-13 |
| 1023445327 | Corey O'neill | Chiropractor | 943 Automation Way, A1, Medford, OR 97504-4192 | 2013-10-01 |
| 1376888941 | Mlm Chiropractic, LLC | Chiropractor | 133-b Jackson Rd, Medford, NJ 08055 | 2012-12-07 |
| 1912241092 | 495 Chiropractic, PC | Chiropractor | 570 Expressway Dr S, Suite 2c, Medford, NY 11763-2049 | 2012-11-15 |
| 1003188509 | Samuel Robert Klinner | Chiropractor | 115 E Perkins St, Medford, WI 54451-1852 | 2012-01-31 |
| 1285869040 | Mc Chiropractic | Chiropractor | 1550 Biddle Rd, Ste. D, Medford, OR 97504-4691 | 2009-05-22 |
| 1992981450 | Anthony Francis Micucci | Chiropractor | 170 Kettles Ln, Medford, NY 11763-1552 | 2008-01-15 |
| Find all providers in MEDFORD | ||||
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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.