Active NPI
Bernard Jacob Goldblatt, MD
- Cardiovascular Disease Physician
- Brooklyn, NY
National Provider Identifier
1306912019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 138482
- Practice address
- 1870 East 19 Street
Brooklyn, NY 11598 - Phone
- (718) 232-7877
- Fax
- (718) 232-4031
- NPI assigned
- Nov 27, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 138482 | NY | Primary |
Addresses
Primary practice location
1870 East 19 Street
Brooklyn, NY 11598
Mailing address
1870 East 19 Street
Brooklyn, NY 11598
Phone (718) 232-7877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00808159 | Medicaid | NY | |
| 138482 | Other | LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051221001079 | NY | Practitioner - Cardiovascular Disease (Cardiology) | 2264454966 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York Medical College, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1870 E 19 St
Brooklyn, NY 11229-3506
1870 E 19TH St
Brooklyn, NY 11229-3506
Phone (718) 232-7877
Hospital & facility affiliations
- Maimonides Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.92 of 100
- Quality
- 24.24
- Improvement activities
- 40
- Cost
- 84.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- bernardgoldblatt@mai.allscriptsdirect.net
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1306912019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 EAST 19 STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11598",
"telephone_number": "718-232-7877",
"fax_number": "718-232-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 EAST 19 STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11598",
"telephone_number": "718-232-7877",
"fax_number": "718-232-4031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBLATT",
"first_name": "BERNARD",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "138482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00808159",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "138482",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.