Active NPI
Richard Gottfried, MD
- Internal Medicine Physician
- New Rochelle, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 166557
- Practice address
- 1296 North Ave
New Rochelle, NY 10804-2603 - Phone
- (914) 235-8224
- Fax
- (914) 235-6940
- NPI assigned
- Dec 19, 2005
- Last updated
- Oct 26, 2015
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 166557 | NY | Primary |
Addresses
Primary practice location
1296 North Ave
New Rochelle, NY 10804-2603
Mailing address
1296 North Ave
New Rochelle, NY 10804-2603
Phone (914) 235-8224
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01167064 | Medicaid | NY | |
| 44F07 | Other | NY | MEDICARE |
| 110142529 | Other | NY | RAILRAOD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166557 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Plains Physician Services PC | Internal Medicine | Current | Accepting new patients |
| White Plains Hospital Medical Center | Current | Accepting new patients | |
| White Plains Hospital Medical Center | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Internal Medicine | Past | Accepting new patients |
| The Westchester Medical Group PC | Past | Accepting new patients |
Locations
99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515
185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020
1296 North Ave
New Rochelle, NY 10804
Phone (914) 235-7435
77 Quaker Ridge Rd
Ste 200A
New Rochelle, NY 10804
Phone (914) 235-8224
170 Maple Ave
Ste 201
White Plains, NY 10601
Phone (914) 681-2783
41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Diagnostic Radiology Physician
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- NPI 1962892695
-
dba Mount Sinai Brooklyn Heights Medical Group
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1760733190
-
dba Westmed Medical Group
- Durable Medical Equipment & Medical Supplies
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- NPI 1790560878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1023094323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1296 NORTH AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108042603",
"telephone_number": "914-235-8224",
"fax_number": "914-235-6940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1296 NORTH AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108042603",
"telephone_number": "914-235-8224",
"fax_number": "914-235-6940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTFRIED",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "166557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01167064",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "44F07",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "110142529",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.