Individual provider Active NPI

Bruce Alan Goldstein, OD

  • Optometrist
  • Monsey, NY
National Provider Identifier
1346314630
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4410 Issued in NY
Practice address
455 Route 306, Suite 2
Monsey, NY 10952-1095
Phone
(845) 362-2020
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4410 NY Primary

Addresses

Primary practice location

455 Route 306, Suite 2
Monsey, NY 10952-1095

Mailing address

455 Route 306
Monsey, NY 10952-1209
Phone (845) 362-2020

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110930000002 NY Practitioner - Optometry 7113956657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Eye Care Associates of Optometry PCGroup PAC ID 5092939603, 2 clinicians

Practice addresses (Care Compare)

443 Route 306
Monsey, NY 10952-1230
Phone (845) 362-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4410NYMDAddiction (Substance Use Disorder) Counselor
004410NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Eye Care Associates of Optometry PC Optometrist CurrentSince Jul 25, 2013 Accepting new patients
B Stern Physical Therapy P.C. Past Accepting new patients

Locations

441 Route 306
Ste A
Monsey, NY 10952

441 Route 306
Monsey, NY 10952
Phone (845) 362-3185

Interoperability endpoints

  • Direct secure messaging: bruce.goldstein.p1@direct.nnjei.nextgenshare.com

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1346314630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ROUTE 306",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521209",
            "telephone_number": "845-362-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ROUTE 306, SUITE 2",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521095",
            "telephone_number": "845-362-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "BRUCE",
        "middle_name": "ALAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.