Active NPI
Andrew M. Goldfine, MD
- Neurology Physician
- Stony Brook, NY
National Provider Identifier
1104013325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 235887
- Practice address
- Neurology Associates of Stony Brook Ufpc
Sbumc, HSC Level 12, RM. 020
Stony Brook, NY 11794-8121 - Phone
- (631) 444-2599
- Fax
- (844) 862-7442
- NPI assigned
- Oct 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A99451 | CA | |
| Neurology Physician | 2084N0400X | 235887 | NY | Primary |
Addresses
Primary practice location
Neurology Associates of Stony Brook Ufpc
Sbumc, HSC Level 12, RM. 020
Stony Brook, NY 11794-8121
Mailing address
Neurology Associates of Stony Brook Ufpc
Sbumc, HSC Level 12, RM. 020
Stony Brook, NY 11794-8121
Phone (631) 444-2599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A994510 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1104013325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NEUROLOGY ASSOCIATES OF STONY BROOK UFPC",
"address_2": "SBUMC, HSC LEVEL 12, RM. 020",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948121",
"telephone_number": "631-444-2599",
"fax_number": "844-862-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEUROLOGY ASSOCIATES OF STONY BROOK UFPC",
"address_2": "SBUMC, HSC LEVEL 12, RM. 020",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948121",
"telephone_number": "631-444-2599",
"fax_number": "844-862-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDFINE",
"first_name": "ANDREW",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-02",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A99451",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "235887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A994510",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.