NPIMap

Individual provider Active NPI

Grigoriy Goldenberg, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1093784837
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207101 Issued in NY
Practice address
2792 Ocean Ave FL 6
Brooklyn, NY 11229-4730
Phone
(718) 332-5268
Fax
(718) 975-0632
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207101 NY Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 207101 NY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 207101 NY

Addresses

Primary practice location

2792 Ocean Ave FL 6
Brooklyn, NY 11229-4730

Mailing address

20939 23Rd Ave Apt 2E
Bayside
Bayside, NY 11360-1826
Phone (718) 332-5268

Other identifiers 1

IdentifierTypeStateIssuer
01862871MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050827000078 NY Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Other (Physician) 3476584673 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2792 Ocean Ave
Suite 6
Brooklyn, NY 11229-4730
Phone (718) 332-5268

Hospital & facility affiliations

  • Cassena Care at Home Home health agency, Brooklyn, NY, CCN 337441
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Merit-based Incentive Payment System (MIPS)

Final score
95.29 of 100Reported as apm
Quality
80.38
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Kings Physician Services, PC Past Accepting new patients
Brighton Podiatry PC Past Accepting new patients
Traditional and Alternative Medicine PC Geriatric Medicine Past Accepting new patients
Park Slope Medical Health Provider, PC Past Accepting new patients
Park Slope Medical Service PC Past Accepting new patients
Psychological Health Care of Ny Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: grg9001@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: grigoriygoldenberg@mai.allscriptsdirect.net

Organizations & group practices 8

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 7

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1093784837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20939 23RD AVE APT 2E",
            "address_2": "BAYSIDE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601826",
            "telephone_number": "718-332-5268",
            "fax_number": "718-975-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 OCEAN AVE FL 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294730",
            "telephone_number": "718-332-5268",
            "fax_number": "718-975-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "GRIGORIY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207101",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "207101",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "207101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01862871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.