Individual provider Active NPI

Lisa Michele Goldfarb, M.D.

  • Addiction Psychiatry Physician
  • New York, NY
National Provider Identifier
1306069778
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
182524 Issued in NY
Practice address
50 E 72ND St Ste 1a
New York, NY 10021-4246
Phone
(212) 570-4052
Fax
(212) 570-1077
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 182524 NY
Addiction Psychiatry Physician 2084P0802X 182524 NY Primary

Addresses

Primary practice location

50 E 72ND St Ste 1a
New York, NY 10021-4246

Mailing address

50 E 72ND St Ste 1a
New York, NY 10021-4246
Phone (212) 570-4052

Other practice location 1

26 Court St Ste 2203
Brooklyn, NY 11242-1122
Phone (212) 570-4052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 4, 2023 through Oct 4, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182524NYMDAddiction Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1306069778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 72ND ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214246",
            "telephone_number": "212-570-4052",
            "fax_number": "212-570-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 72ND ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214246",
            "telephone_number": "212-570-4052",
            "fax_number": "212-570-1077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Court St Ste 2203",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112421122",
            "country_code": "US",
            "telephone_number": "212-570-4052",
            "fax_number": "212-570-1077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDFARB",
        "first_name": "LISA",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "182524",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "182524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.