Individual provider Active NPI

Gregg A Goldhagen, MS

  • Audiologist-Hearing Aid Fitter
  • New York, NY
National Provider Identifier
1003087917
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
001030 Issued in NY
Practice address
210 E 86TH St
9TH Floor
New York, NY 10028-3003
Phone
(212) 722-5570
Fax
(212) 722-4573
NPI assigned
Mar 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 001030 NY Primary

Addresses

Primary practice location

210 E 86TH St
9TH Floor
New York, NY 10028-3003

Mailing address

19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018

Other practice location 1

11 Medical Park Dr Ste 205
Pomona, NY 10970-3560
Phone (914) 693-7636

Other practice location 2

19 Bradhurst Ave Ste 3600S
Hawthorne, NY 10532-2140
Phone (914) 693-7636

Other practice location 3

1055 Saw Mill River Rd Ste 101
Ardsley, NY 10502-1050
Phone (914) 693-7636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080820000426 NY Practitioner - Qualified Audiologist 6901971332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians

Practice addresses (Care Compare)

19 Bradhurst Ave
Hawthorne, NY 10532-2140

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001030NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 14, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Dec 14, 2020 Accepting new patients
ENT and Allergy Associates of Pennsylvania PLLC Past Accepting new patients
Westchester Medical Center Past Accepting new patients

Locations

1055 Saw Mill River Rd
Ste 101
Ardsley, NY 10502
Phone 9146937636 ext. 129

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

19 Bradhurst Ave
Ste 3600S
Hawthorne, NY 10532
Phone (914) 909-4578

11 Medical Park Dr
Ste 205
Pomona, NY 10970
Phone (845) 362-1350

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1003087917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE STE 3100N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-909-9018",
            "fax_number": "914-909-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 86TH ST",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283003",
            "telephone_number": "212-722-5570",
            "fax_number": "212-722-4573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Medical Park Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "NY",
            "postal_code": "109703560",
            "country_code": "US",
            "telephone_number": "914-693-7636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Bradhurst Ave Ste 3600S",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NY",
            "postal_code": "105322140",
            "country_code": "US",
            "telephone_number": "914-693-7636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Saw Mill River Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ardsley",
            "state": "NY",
            "postal_code": "105021050",
            "country_code": "US",
            "telephone_number": "914-693-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDHAGEN",
        "first_name": "GREGG",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "001030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.