Active NPI
Gregg A Goldhagen, MS
- Audiologist-Hearing Aid Fitter
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 001030
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001030 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | 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
- 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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1023286184
-
- Allergy & Immunology Physician
- Willow Grove, PA
- NPI 1548098759
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.