Lauren Goldman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004249 Issued in NY

Practice address

1111 Westchester Ave
Medical Office
White Plains, NY 10604-3525

Phone

(914) 253-2770

Fax

(914) 253-3557

NPI assigned

Jun 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Docs Physicians Affiliated With Bimc

  • General Practice Physician
  • New York, NY
  • NPI 1821016692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1275971012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 9TH AVENUE",
            "address_2": "MEDICAL OFFICE- GOOGLE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "888-926-9385",
            "fax_number": "212-273-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WESTCHESTER AVE",
            "address_2": "MEDICAL OFFICE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043525",
            "telephone_number": "914-253-2770",
            "fax_number": "914-253-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "004249",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophie Corrinne Golden
• Diana Goldenberg, M.D.
• Gilian N Goldman, PSY.D.
• Jessica Goldman, DNP, LCSW, PMHNP-BC
• Kenneth B Goldman, M.D.
• Andrew Michael Goldstein, M.D.
• Gail S. Goldstein, M.D.
• George Seymour Goldstein, M.D.
• Harold L Goldstein, DPM
• Mervyn Leon Goldstein, M.D.

• Physician Assistant in White Plains, NY
• Providers in White Plains, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.