Individual provider Active NPI

Alan Goldenberg, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Riverhead, NY
National Provider Identifier
1144280827
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
201208 Issued in NY
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

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01800471MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000424 NY Practitioner - Endocrinology 1254350887 Reassigns benefits to 2 organizations

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
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
201208NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
New York University CurrentSince Oct 1, 2018 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

  • Direct secure messaging: agoldenberg238828@nyumc.direct-ci.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.