GOOD WILL MEDICAL PC – NPI #1124103585
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

GOOD WILL MEDICAL PC is a provider located in FAR ROCKAWAY, NY. NPPES has assigned the NPI number 1124103585 to GOOD WILL MEDICAL PC on October 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOOD WILL MEDICAL PC below.

NPI Profile for
GOOD WILL MEDICAL PC

NPI Number
1124103585
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOOD WILL MEDICAL PC
Primary location
51 15 BEACH CHANNEL DRIVE
PENINSULA HOSPITAL
FAR ROCKAWAY, NY 11691-1074
Phone: (718) 734-2345 Fax: (718) 734-2808
Mailing address
158 WEST 27TH STREET
11 FLOOR SOUTH
NEW YORK, NY 10001-6216
Phone: (212) 524-7724 Fax: (212) 543-8201
Organization Subpart
No
Authorized Official
SALLI LAUFER
ATTENDING HOSPITALIST
Phone: (718) 734-2345
Updated
Identifiers

Identifiers for GOOD WILL MEDICAL PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY01809549
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
NY 207114

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.