Active NPI
Ronald Goldstein OD PC
- Optometrist
- New York, NY
National Provider Identifier
1366965154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV004856-1
- Legal business name
- RONALD GOLDSTEIN OD PC
- Practice address
- 243 E 77TH St Ste 1a
New York, NY 10075-2132 - Phone
- (212) 249-0002
- Fax
- (212) 249-5248
- NPI assigned
- Jul 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniela Cabral
- Title
- Manager
- Phone
- (212) 249-0002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV004856-1 | NY | Primary |
Addresses
Primary practice location
243 E 77TH St Ste 1a
New York, NY 10075-2132
Mailing address
243 E 77TH St Ste 1a
New York, NY 10075-2132
Phone (212) 249-0002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
243 E 77th St
Ste 1A
New York, NY 10075
Phone (212) 249-0002
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- New York, NY
- NPI 1619913860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751500800000",
"number": "1366965154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 E 77TH ST STE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100752132",
"telephone_number": "212-249-0002",
"fax_number": "212-249-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 E 77TH ST STE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100752132",
"telephone_number": "212-249-0002",
"fax_number": "212-249-5248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD GOLDSTEIN OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-24",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A",
"authorized_official_last_name": "CABRAL",
"authorized_official_first_name": "DANIELA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "212-249-0002"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV004856-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.