Active NPIIndividual providerSole proprietor

Gregory Goldvug

Physician Assistant, Medical in Richmond Hill, New York

NPI Number1306533062
Practice location
8900 Van Wyck Expy, Richmond Hill, NY 11418-2832
Fax
—
Last updated
August 28, 2025

Gregory Goldvug is a Physician Assistant, Medical based in Richmond Hill, NY. Gregory Goldvug practices in Richmond Hill, NY. The NPI Number for Gregory Goldvug is 1306533062 and holds a License No. 030003 (NY). The current practice location address for Gregory Goldvug is 8900 Van Wyck Expy, Richmond Hill, NY 11418-2832 and can be reached out via phone at 718-206-6000.

Provider Profile Details

NPI Number
1306533062
Provider Name
Gregory Goldvug
Provider Entity Type
Individual
Gender
Male
Address
8900 Van Wyck Expy, Richmond Hill, NY 11418-2832
Phone Number
718-206-6000
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 21, 2023
Last Update Date
August 28, 2025
Certification Date
August 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Zip
11418-2832
Phone Number
718-206-6000
Richmond Hill, NY 11418Get directions →

Provider Business Mailing Address Details

Address
154 Prospect St
Greenwich, CT 06830-3224
City
Greenwich
State
CT
Zip
06830-3224
Phone Number
914-417-1792

License Information

License Number
030003
License State
NY
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gregory Goldvug?

The NPI number of Gregory Goldvug is 1306533062. It was assigned on April 21, 2023 and is currently active in the NPPES registry.

What is the specialty of Gregory Goldvug?

Gregory Goldvug is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 030003.

Where does Gregory Goldvug practice?

The practice location is 8900 Van Wyck Expy, Richmond Hill, NY 11418-2832. The office can be reached at 718-206-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306533062 directly on the NPPES registry website.

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