DR. BRUCE G GOLDNER (NPI# 1710949177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710949177 |
| Entity Type | Individual |
| Full Name | DR. BRUCE G GOLDNER |
| Credential | MD |
| Practice Address |
27005 76th Ave New Hyde Park NY 11040-1433 |
| Mailing Address |
175 Community Dr Great Neck NY 11021-5502 |
| Practice Telephone | 7184707330 |
| Practice Fax Number | 7184701821 |
| Mailing Telephone | 5164651900 |
| Mailing Fax Number | 5164651830 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2012-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
174786 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01475070 | 05 |
| Street Address |
27005 76TH AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950817 | Maria C Adragna | Anesthesiology | 27005 76th Ave, New Hyde Park, NY 11040-1433 | 2005-05-31 |
| 1730789538 | Daniela Farzadfar | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-10-29 |
| 1669072096 | Barbara Barsoum | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-10-26 |
| 1962000547 | Dana Rucco | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-10-15 |
| 1407454200 | Jessica Marie Maas | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-10-14 |
| 1407463318 | Lori Ohanesian | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-09-24 |
| 1063029106 | Nicole Mulvey | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-09-23 |
| 1528674314 | William Christopher Arthur | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-09-17 |
| 1508470238 | Kiara Goldwag | Registered Nurse | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-09-01 |
| 1710590948 | Laura Calcagni | Nurse Practitioner | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| 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 |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1215579289 | Samantha S Maloney | Internal Medicine | 3003 New Hyde Park Rd Ste 411, New Hyde Park, NY 11042-1214 | 2019-10-11 |
| 1124173877 | Rohan Bhansali | Internal Medicine | Lijmc Dept of Medicine Div of Cardiology, 270 05 76th Avenue, New Hyde Park, NY 11040 | 2007-01-24 |
| 1538229521 | Stacey Rosen | Internal Medicine | Lijmc Dept of Medicine Cardiology, 270 05 76 Avenue, New Hyde Park, NY 11042 | 2006-12-11 |
| 1598836587 | Angela Romano-adesman | Internal Medicine | Sch-pediatric Cardiology, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-13 |
| 1588734933 | Sandeep Jauhar | Internal Medicine | Lijmc-dept of Medicine, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1376613729 | Joseph Diamond | Internal Medicine | Lijmc- Division of Cardiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1477635084 | Andrew M Grunwald | Internal Medicine | 3003 New Hyde Park Road #406, New Hyde Park, NY 11042 | 2006-10-20 |
| 1023052578 | Leonardo N Saulle | Internal Medicine | 2001 Marcus Ave Ste E249, New Hyde Park, NY 11042-1000 | 2006-06-15 |
| 1306814975 | Robert Evan Struhl | Internal Medicine | 410 Lakeville Rd Ste 209, New Hyde Park, NY 11042-1122 | 2006-03-09 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
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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.