Individual provider Active NPI

Tamar Haya Goldwaser, M.D.

  • Obstetrics & Gynecology Physician
  • Bronx, NY
National Provider Identifier
1366763799
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
257344 Issued in NY
Practice address
1300 Morris Park Ave
Belfer 501
Bronx, NY 10461-1900
Phone
(718) 430-3204
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 257344 NY Primary

Addresses

Primary practice location

1300 Morris Park Ave
Belfer 501
Bronx, NY 10461-1900

Mailing address

100 W 86TH St
Apartment 4B
New York, NY 10024-4019
Phone (732) 236-3359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20121210000291 NY Practitioner - Obstetrics/Gynecology 9234381773 Reassigns benefits to 1 organization
I20200114001809 NJ Practitioner - Obstetrics/GynecologyPractitioner - Medical Genetics and Genomics 9234381773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Medical Genetics and Genomics
Education
Icahn School of Medicine at Mount Sinai, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

350 Engle St
4TH FL RM 4213
Englewood, NJ 07631-1808
Phone (201) 894-3669

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257344NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Obstetrics & Gynecology CurrentSince Jan 1, 2013 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Nov 26, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2013 Accepting new patients
Carnegie South Imaging for Women PLLC Past Accepting new patients
Carnegie Hill Imaging for Women Past Accepting new patients

Locations

350 Engle St
Fl 4
Englewood, NJ 07631
Phone (201) 568-5250

350 Engle St
Rm 4213
Englewood, NJ 07631
Phone (201) 894-3669

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

111 E 210th St
Bronx, NY 10467

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

Interoperability endpoints

  • Direct secure messaging: tamar.goldwaser@mfmnyc.eclinicaldirectplus.com

Organizations & group practices 5

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1366763799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 86TH ST",
            "address_2": "APARTMENT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244019",
            "telephone_number": "732-236-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MORRIS PARK AVE",
            "address_2": "BELFER 501",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611900",
            "telephone_number": "718-430-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWASER",
        "first_name": "TAMAR",
        "middle_name": "HAYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "257344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.