Individual provider Active NPI

Charles Richard Goldfarb, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1376570523
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
109383 Issued in NY
Practice address
144 4TH Ave
New York, NY 10003-4901
Phone
(212) 473-2300
Fax
(212) 473-4780
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 109383 NY Primary

Addresses

Primary practice location

144 4TH Ave
New York, NY 10003-4901

Mailing address

1 Gustave L. Levy Place
Box 1194
New York, NY 10029-6574
Phone (212) 241-8395

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715000823 NY Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 8921087727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
New York Medical College, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-6426

10 Union SQ E
New York, NY 10003-3314
Phone (212) 241-8395

100 TH St and Madison Ave
New York, NY 10029-6503
Phone (212) 241-6500

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 241-6426

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 241-6426

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

1470 Madison Ave
New York, NY 10029-6542
Phone (212) 241-8426

2510 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4390

2520 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4230

3131 Kings Hwy
FL 1
Brooklyn, NY 11234-2644
Phone (718) 951-2930

325 W 15TH St
New York, NY 10011-5903
Phone (212) 604-6009

3712 82ND St
Jackson Heights, NY 11372-7028
Phone (718) 879-1600

425 W 59TH St
New York, NY 10019-8022
Phone (212) 241-8333

5 E 98TH St
New York, NY 10029-6501

Hospital & facility affiliations

  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169
  • Mount Sinai West Hospital, New York, NY, CCN 330046
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109383NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based CurrentSince Aug 20, 2018 Accepting new patients
Fpa Hospital Based CurrentSince Aug 20, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients
Beth Israel Medical Center Diagnostic Radiology Past Accepting new patients
East Manhattan Diagnostic Imaging, PC Diagnostic Radiology Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Diagnostic Radiology Past Accepting new patients

Locations

2520 30th Ave
#4
Astoria, NY 11102

3131 Kings Hwy
Ste A4
Brooklyn, NY 11234
Phone (718) 758-1500

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

300 Cadman Plz W
Fl 18
Brooklyn, NY 11201
Phone (929) 210-6000

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1468 Madison Ave
#175
New York, NY 10029
Phone (212) 241-8333

1176 5th Ave
Lbby
New York, NY 10029

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

17E E 102nd St
#6D
New York, NY 10029
Phone (212) 241-6381

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

17 E 102nd St
#Stste6D
New York, NY 10029

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

1000 10th Ave
Fl 4
New York, NY 10019
Phone (212) 523-8332

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

144 4th Ave
New York, NY 10003
Phone (212) 473-2300

425 W 59th St
Ste 6C6D
New York, NY 10019
Phone (212) 241-8333

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 9

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1376570523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L. LEVY PLACE",
            "address_2": "BOX 1194",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296574",
            "telephone_number": "212-241-8395",
            "fax_number": "212-289-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 4TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034901",
            "telephone_number": "212-473-2300",
            "fax_number": "212-473-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFARB",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "109383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.