Carley Erin Goldman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA004025 Issued in PA

Practice address

339 E Street Rd
Trevose, PA 19053-7711

Phone

(215) 464-4111

Fax

(267) 574-8111

NPI assigned

Dec 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Physicians Group LLCGroup PAC ID 2769631621, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
• Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: carleygoldman@ppgsah-pa.direct.office.nextgen.com

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.

• Pinnacle Physicians Group LLC

  • Family Medicine Physician
  • Trevose, PA
  • NPI 1184984809
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Einstein Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1366653818
  Care Compare affiliation Name & address match
• Holy Redeemer Health System

  dba Holy Redeemer Hospital & Medical Center

  • General Acute Care Hospital
  • Meadowbrook, PA
  • NPI 1750371522
  Care Compare affiliation
• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1013452457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 OXFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241123",
            "telephone_number": "267-574-8106",
            "fax_number": "267-574-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 E STREET RD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190537711",
            "telephone_number": "215-464-4111",
            "fax_number": "267-574-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190643810",
            "country_code": "US",
            "telephone_number": "484-470-2600",
            "fax_number": "484-470-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "CARLEY",
        "middle_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058799",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Fripps
• Kathleen A Gant, CPNP-PC
• Colleen Joan Garneau, R.N.
• George L. Rodriguez, M.D., PC (Advanced Diagnostics)
• Joseph Gillespie, D.C.
• Antoinette Gonsalves, MACP
• Kristi Goodwin, MSPH, CHES
• GP Eyecare Specialists
• Grace and Comfort Homecare LLC
• Greentree Radiology Associates PC (Bensalem Open MRI)

• Physician Assistant in Trevose, PA
• Providers in Trevose, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.