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MARTIN O GOTTLIEB MD
NPI 1669689659
Specialist in North Merrick, NY

Active since May 17, 2007
1005 MERRICK AVE, NORTH MERRICK, NY 11566(718) 979-9623(718) 980-0628 Get Directions Write a Review

NPPES record last updated: February 25, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Martin O Gottlieb Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN O GOTTLIEB MD (NPI 1669689659) is a healthcare organization registered as a specialist in North Merrick, New York and active in the NPI registry since May 2007. The organization lists Martin O Gottlieb, Owner, as its authorized official.

NPPES Registry Identity

NPI1669689659
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMARTIN O GOTTLIEB MD
Location Address1005 MERRICK AVENorth Merrick, NY 11566-1033
Mailing Address1005 Merrick AveNorth Merrick, NY 11566-1033 · (718) 979-9623 · Fax (718) 980-0628
Phone(718) 979-9623
Fax(718) 980-0628
Organization SubpartNo
Authorized OfficialMartin O GottliebOwner · (718) 979-9623
Enumeration DateMay 17, 2007
Last NPPES UpdateFebruary 25, 2009
✔ NPI 1669689659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 147430
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1005 MERRICK AVE, North Merrick, NY 11566
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Other Identifiers 3

Medicare ID-Type Unspecified59D603NY · Empire Medicare
Other147430NY · License
Medicare UPINC11502NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin O Gottlieb MD's NPI number?

The NPI number for Martin O Gottlieb MD is 1669689659. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Martin O Gottlieb MD located?

Martin O Gottlieb MD is located at 1005 Merrick Ave, North Merrick, NY 11566. The listed phone number is (718) 979-9623.

What is Martin O Gottlieb MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Martin O Gottlieb MD was last updated on February 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.