Individual provider Active NPI

Stephen Goodman, M.D.

  • Gastroenterology Physician
  • New City, NY
National Provider Identifier
1154325744
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
198340 Issued in NY
Practice address
500 New Hempstead Rd
New City, NY 10956-1132
Phone
(845) 362-3200
Fax
(845) 362-4464
NPI assigned
Jun 10, 2005
Last updated
Dec 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 198340 NY Primary

Addresses

Primary practice location

500 New Hempstead Rd
New City, NY 10956-1132

Mailing address

500 New Hempstead Rd
New City, NY 10956-1132
Phone (845) 362-3200

Other identifiers 1

IdentifierTypeStateIssuer
01702836MedicaidNY

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
I20071025000609 NY Practitioner - Gastroenterology 8820184880 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Highland Medical P.C.Group PAC ID 2668370420, 19 clinicians
Montefiore Nyack HospitalGroup PAC ID 2668485046, 21 clinicians
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians

Practice addresses (Care Compare)

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2198

187 Veterans Blvd
Massapequa, NY 11758-4982
Phone (516) 795-5523

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5000

500 New Hempstead Rd
Suite a
New City, NY 10956-1143
Phone (845) 362-3200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy136
Upper gastrointestinal (GI) endoscopy for acid reflux157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198340NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Medical P.C. CurrentSince Feb 1, 2026 Accepting new patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Jan 12, 2024 Accepting new patients
Montefiore Nyack Hospital CurrentSince Jul 2, 2025 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. Gastroenterology CurrentSince Nov 10, 2025 Accepting new patients
Montefiore Nyack Hospital CurrentSince Jul 2, 2025 Accepting new patients

Locations

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

500 New Hempstead Rd
Ste A
New City, NY 10956
Phone (845) 362-3200

500 New Hempstead Rd
New City, NY 10956
Phone (845) 362-3200

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: stephen.goodman.1@24721.direct.athenahealth.com
  • Direct secure messaging: stephen.goodman@giar.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1154325744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NEW HEMPSTEAD RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561132",
            "telephone_number": "845-362-3200",
            "fax_number": "845-362-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NEW HEMPSTEAD RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561132",
            "telephone_number": "845-362-3200",
            "fax_number": "845-362-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "198340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01702836",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.