Individual provider Active NPI

Joseph Aaron Gotesman, M.D.

  • Nephrology Physician
  • Flushing, NY
National Provider Identifier
1285169490
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
303096 Issued in NY
Practice address
17660 Union Tpke Ste 130
Flushing, NY 11366-1531
Phone
(718) 820-9729
NPI assigned
Apr 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 303096 NY Primary

Addresses

Primary practice location

17660 Union Tpke Ste 130
Flushing, NY 11366-1531

Mailing address

PO Box 416173
Boston, MA 02241-6173

Other practice location 1

403 E 91st St Fl 2
New York, NY 10128-6800
Phone (212) 427-9895

Other practice location 2

501 Kings Hwy E Ste 109
Fairfield, CT 06825-4871
Phone (203) 330-0248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230612002380 NY Practitioner - Interventional RadiologyPractitioner - Nephrology 3678817574 Reassigns benefits to 1 organization
I20241213000646 CT Practitioner - Interventional RadiologyPractitioner - Nephrology 3678817574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Nephrology
Education
Albert Einstein College of Medicine of Yeshiva University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Image Guided Surgery PCGroup PAC ID 9234022328, 4 clinicians
American Access Care Physician PLLCGroup PAC ID 8224929997, 18 clinicians

Practice addresses (Care Compare)

1152 Kings Hwy Cutoff
Suite 104
Fairfield, CT 06824-5273
Phone (203) 330-0248

960 40TH St
Brooklyn, NY 11219-1518
Phone (718) 369-1444

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
76.17
Promoting interoperability
99
Improvement activities
40
Cost
67.84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Focus ASC LLC CurrentSince Jul 1, 2023 Accepting new patients
American Access Care Physician PLLC CurrentSince Jul 1, 2023 Accepting new patients
Connecticut Image Guided Surgery, PC CurrentSince Dec 1, 2024 Accepting new patients
Ya-Tseng William Lu, M.D., PLLC Past Accepting new patients

Locations

501 Kings Hwy E
Ste 109
Fairfield, CT 06825
Phone (203) 330-0248

1152 Kings Highway Cutoff
Ste 104
Fairfield, CT 06824
Phone (203) 330-0248

3250 Westchester Ave
Rm 102
Bronx, NY 10461
Phone (718) 518-9000

2060 Utica Ave
Brooklyn, NY 11234
Phone (718) 676-5309

1250 67th St
Brooklyn, NY 11219
Phone (718) 232-2322

960 40th St
Brooklyn, NY 11219
Phone (718) 369-1444

11919 Graham Ct
Flushing, NY 11354
Phone (718) 552-1000

17660 Union Tpke
Ste 130
Fresh Meadows, NY 11366
Phone (718) 591-1657

900 Northern Blvd
Ste 140
Great Neck, NY 11021
Phone (516) 466-6760

35 E 110th St
Fl 3
New York, NY 10029
Phone (212) 426-3469

403 E 91st St
Fl 2
New York, NY 10128
Phone (212) 427-9895

35 E 110th St
#2
New York, NY 10029
Phone (212) 427-9895

27005 76th Ave
North New Hyde Pk, NY 11040

20606 Hillside Ave
Queens Village, NY 11427
Phone 7182225999213

Interoperability endpoints

  • Direct secure messaging: joseph.gotesman.p39@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p207@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p25@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p30@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p81@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p5@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p75@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p103@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p34@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p211@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p82@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p35@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p40@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p45@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p117@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p118@direct.aac.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: joseph.gotesman.p2@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p60@direct.aac.nextgenshare.com
  • Direct secure messaging: joseph.gotesman.p107@direct.aac.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.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1285169490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416173",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17660 UNION TPKE STE 130",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661531",
            "telephone_number": "718-820-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 E 91st St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101286800",
            "country_code": "US",
            "telephone_number": "212-427-9895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Kings Hwy E Ste 109",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068254871",
            "country_code": "US",
            "telephone_number": "203-330-0248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTESMAN",
        "first_name": "JOSEPH",
        "middle_name": "AARON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "303096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.