Individual provider Active NPI

Laura Goldstein, PA-C

  • Physician Assistant
  • Florence, MA
National Provider Identifier
1083194658
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6714 Issued in MA
Practice address
70 Main St
Florence, MA 01062-1487
Phone
(413) 586-8400
Fax
(866) 644-0872
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6714 MA Primary

Addresses

Primary practice location

70 Main St
Florence, MA 01062-1487

Mailing address

70 Main St
Florence, MA 01062-1487
Phone (413) 586-8400

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20181015000293 MA Practitioner - Physician Assistant 8628320942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

766 N King St
Northampton, MA 01060-1142
Phone (413) 785-1153

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA6714MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group, P.C. CurrentSince Sep 10, 2018 Accepting new patients
Pioneer Spine and Sports Physicians PC CurrentSince Nov 1, 2022 Accepting new patients
Valley Medical Group, P.C. Physician Assistant CurrentSince Sep 10, 2018 Accepting new patients

Locations

766 N King St
Northampton, MA 01060
Phone (413) 586-0230

70 Main St
Northampton, MA 01062
Phone (413) 586-8400

271 Park St
West Springfield, MA 01089
Phone (413) 785-1153

Interoperability endpoints

  • Direct secure messaging: lgoldstein@spinesports.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1083194658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621487",
            "telephone_number": "413-586-8400",
            "fax_number": "866-644-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621487",
            "telephone_number": "413-586-8400",
            "fax_number": "866-644-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

Verify at the official NPI Registry.