Individual provider Active NPI

Andrew M. Goldfine, MD

  • Neurology Physician
  • Stony Brook, NY
National Provider Identifier
1104013325
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
235887 Issued in NY
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

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A994510MedicaidCA

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.

Verify at the official NPI Registry.