Active NPI
Aaron Leo Gottesman, MD
- Internal Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 213117
- Practice address
- 475 Seaview Ave
Staten Island, NY 10305-3436 - Phone
- (718) 226-6902
- Fax
- (718) 226-6844
- NPI assigned
- Oct 28, 2005
- Last updated
- May 8, 2008
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 213117 | NY | Primary |
Addresses
Primary practice location
475 Seaview Ave
Staten Island, NY 10305-3436
Mailing address
1 Edgewater St
6TH FL. Payer Relations
Staten Island, NY 10305-4900
Phone (718) 226-1008
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88S34 | Other | EMPIRE BC/BS | |
| 02201054 | Medicaid | NY | |
| 213117B11 | Other | HEALTHFIRST | |
| 2514189 | Other | GHI | |
| 20811I | Other | MAGNACARE | |
| 04-07732 | Other | EVERCARE | |
| 21149183202 | Other | BEECHSTREET | |
| P2668751 | Other | OXFORD | |
| 141437P | Other | HIP |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2655 Richmond Ave
Staten Island, NY 10314-5821
Phone (718) 818-5100
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (212) 434-6980
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213117 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Internal Medicine | Current | Accepting new patients |
| Staten Island Hospitalists, PC | Internal Medicine | Past | Accepting new patients |
| Staten Island University Hospital | Past | Accepting new patients | |
| Stephen P Coppa DO PC | Internal Medicine | Past | Accepting new patients |
| Kidney and Hypertension Medicine, P.C. | Past | Accepting new patients | |
| Richard P Carr Physical Therapy Inc | Past | Accepting new patients |
Locations
300 Community Dr
Manhasset, NY 11030
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
2655 Richmond Ave
Staten Island, NY 10314
Phone (718) 698-5525
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 10
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.
-
dba NHPP Cardiology at Great Neck
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- NPI 1053688572
Internal Medicine
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- Geriatric Medicine (Internal Medicine) Physician
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- NPI 1417901323
-
- Diagnostic Radiology Physician
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- NPI 1104692672
-
- Anesthesiology Physician
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- NPI 1023513116
-
- Nephrology Physician
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- NPI 1568695765
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- Internal Medicine Physician
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- NPI 1306836978
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
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- Internal Medicine Physician
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- NPI 1508037789
-
dba California Rehabilitation and Sport Therapy
- Physical Therapist
- San Jose, CA
- NPI 1881676377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1225028319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EDGEWATER ST",
"address_2": "6TH FL. PAYER RELATIONS",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103054900",
"telephone_number": "718-226-1008",
"fax_number": "718-226-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053436",
"telephone_number": "718-226-6902",
"fax_number": "718-226-6844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTESMAN",
"first_name": "AARON",
"middle_name": "LEO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "213117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "88S34",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02201054",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "213117B11",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2514189",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "20811I",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "04-07732",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECHSTREET",
"identifier": "21149183202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2668751",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "141437P",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.