Richard W Gotlib, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

196722-1 Issued in NY

Practice address

6080 Jericho Tpke
Ste 102
Commack, NY 11725-2850

Phone

(631) 486-4742

Fax

(631) 486-4745

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

Icahn School of Medicine at Mount Sinai, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nassau University Medical Center Hospital, East Meadow, NY, CCN 330027
• NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043

Merit-based Incentive Payment System (MIPS)

Final score

86.46 of 100Reported as group

Quality

57.32

Promoting interoperability

84

Improvement activities

40

Cost

80.25

Merit-based Incentive Payment System (MIPS)

Final score

93.04 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

72.59

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: rgotlib438368@northwell.direct-ci.com

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.

• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1902822992
  Medicare reassignment Care Compare group NPD
• Eye Surgeons and Physicians, PC

  • Specialist
  • Commack, NY
  • NPI 1598852246
  Medicare reassignment NPD
• Huntington Hospital Dolan Family Health Center

  • Health Service Clinic/Center
  • Greenlawn, NY
  • NPI 1578593588
  Medicare reassignment NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1396760989
  NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1730530940
  NPD
• Ayman Z. Matta, M.D., P.C.

  • Ophthalmology Physician
  • Orangeburg, NY
  • NPI 1326267568
  NPD (past)
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1801857172
  NPD (past)
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  NPD (past)

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

• South Shore University Hospital

  • General Acute Care Hospital
  • Bay Shore, NY
  • NPI 1457369381
  Care Compare affiliation

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386623338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 JERICHO TPKE",
            "address_2": "STE 102",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252850",
            "telephone_number": "631-486-4742",
            "fax_number": "631-486-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 JERICHO TPKE",
            "address_2": "STE 102",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252850",
            "telephone_number": "631-486-4742",
            "fax_number": "631-486-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTLIB",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "196722-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01921168",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa M Goncalves, ANP-C
• Melissa Gordillo-Gomez, MHC-LP
• Donna Lee Gordon, CPHT
• Steven Gordon, LCSWR
• Julie Beth Gorowitz, LAC.
• Shannon M Graepel, MHC-LP
• Scott Michael Gralla, L. AC.
• Tania C Gransasso
• Cecile Marie Grapotte, M.A., TSSLD
• Michael Thomas Grassa

• Specialist in Commack, NY
• Providers in Commack, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.