Individual provider Active NPI

Amy Goldstein, D.O.

  • Specialist
  • Orangeburg, NY
National Provider Identifier
1285662908
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
207403 Issued in NY
Practice address
60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1723
Phone
(845) 359-4770
Fax
(845) 359-0017
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 207403 NY Primary

Addresses

Primary practice location

60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1723

Mailing address

60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1723
Phone (845) 359-4770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agoldstein@directaddress.net Health Information Exchange (HIE)

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
I20100422000862 NY Practitioner - Dermatology 0648307629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Center of Rockland PCGroup PAC ID 0446140750, 7 clinicians

Practice addresses (Care Compare)

60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1722
Phone (845) 359-4770

Merit-based Incentive Payment System (MIPS)

Final score
99.29 of 100Reported as group
Quality
98.58
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1423
Removal or shaving of skin growth1-10
Skin biopsy737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207403NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of Rockland, P.C. Specialist CurrentSince Jan 10, 2010 Accepting new patients
Saitta Dermatology PC PastSince Apr 1, 2020 Accepting new patients

Locations

60 Dutch Hill Rd
Ste 18
Orangeburg, NY 10962
Phone (845) 359-4770

Interoperability endpoints

  • Direct secure messaging: agoldstein@directaddress.net

Organizations & group practices 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1285662908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DUTCH HILL RD",
            "address_2": "SUITE 18",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621723",
            "telephone_number": "845-359-4770",
            "fax_number": "845-359-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DUTCH HILL RD",
            "address_2": "SUITE 18",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621723",
            "telephone_number": "845-359-4770",
            "fax_number": "845-359-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "207403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agoldstein@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "60 Dutch Hill Rd",
            "address_2": "Suite 18",
            "city": "Orangeburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109621723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

Verify at the official NPI Registry.