Individual provider Active NPI

Matthew Jason Goldstein, M.D.

  • Orthopaedic Surgery Physician
  • Great Neck, NY
National Provider Identifier
1114240835
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
252668 Issued in NY
Practice address
600 Northern Blvd
Suite 300
Great Neck, NY 11021-5206
Phone
(516) 627-8717
NPI assigned
Mar 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 252668 NY Primary

Addresses

Primary practice location

600 Northern Blvd
Suite 300
Great Neck, NY 11021-5206

Mailing address

600 Northern Blvd
Suite 300
New York, NY 10021-5200
Phone (516) 627-8717

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130905000857 NY Practitioner - Orthopedic Surgery 9234387101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Saginaw Valley Medical College - NLG, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians
Orthopaedic and Neurosurgery Specialists, PLLCGroup PAC ID 5294628947, 255 clinicians

Practice addresses (Care Compare)

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

500 Mamaroneck Ave
Harrison, NY 10528-1633
Phone (203) 869-1145

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion135
Laminectomy or laminotomy (partial removal of spine bones)55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC Orthopaedic Surgery CurrentSince Apr 1, 2021 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Orthopaedic Surgery CurrentSince Apr 1, 2021 Accepting new patients
MJG Spine Surgery PC Orthopaedic Surgery Current Accepting new patients
San Diego Center for Spinal Disorders Medical Group, Inc. Past Accepting new patients

Locations

600 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 627-8717

500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145

532 New York Ave
Huntington, NY 11743
Phone (516) 627-8717

Interoperability endpoints

  • Direct secure messaging: mgoldstein143315@nyumc.direct-ci.com
  • Direct secure messaging: mgoldstein@ons.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1114240835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "SUITE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215200",
            "telephone_number": "516-627-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "SUITE 300",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215206",
            "telephone_number": "516-627-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MATTHEW",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "252668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.