Active NPI
Alan Goldenberg, MD
- Endocrinology, Diabetes & Metabolism Physician
- Riverhead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 201208
- Practice address
- 189 Main Rd
Riverhead, NY 11901-1901 - Phone
- (631) 288-7120
- Fax
- (631) 288-7124
- NPI assigned
- Mar 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 201208 | NY | Primary |
Addresses
Primary practice location
189 Main Rd
Riverhead, NY 11901-1901
Mailing address
189 Main Rd Ste F
Riverhead, NY 11901-1957
Phone (631) 288-7120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01800471 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agoldenberg238828@nyumc.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- State University of New York at Stony Brook, School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
157 E Woodside Ave
Patchogue, NY 11772-1423
Phone (631) 475-1900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201208 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Winthrop Community Medical Affiliates PC | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
| Heath Gutterman, DPM PC | Past | Accepting new patients |
Locations
515 Bellport Ave
Bellport, NY 11713
Phone (631) 227-6600
250 Patchogue Yaphank Rd
Ste 5
East Patchogue, NY 11772
Phone (631) 654-3330
285 Sills Rd
Bldg 14
East Patchogue, NY 11772
Phone (631) 447-8300
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
189 Main Rd
Ste F
Riverhead, NY 11901
Phone (516) 982-2777
889 E Main St
Ste 308
Riverhead, NY 11901
Phone (631) 386-3500
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- agoldenberg238828@nyumc.direct-ci.com
- alan.goldenberg.p8@direct.shproviders.nextgenshare.com
Organizations & group practices 4
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.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Podiatrist
- Plainview, NY
- NPI 1073538211
-
dba NYU Winthrop Medical Affiliates
- Internal Medicine Physician
- Mineola, NY
- NPI 1457873077
Endocrinology, Diabetes & Metabolism
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1144280827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 MAIN RD STE F",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119011957",
"telephone_number": "631-288-7120",
"fax_number": "631-288-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 MAIN RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119011901",
"telephone_number": "631-288-7120",
"fax_number": "631-288-7124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "201208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01800471",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agoldenberg238828@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "285 Sills Rd Bldg 14",
"city": "East Patchogue",
"state": "NY",
"country_code": "US",
"postal_code": "117724851",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.