Individual provider Active NPI

Leonard A Goldberg, CRNA

  • Certified Registered Nurse Anesthetist
  • Rocky Point, NY
National Provider Identifier
1396768511
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
490761 Issued in NY
Practice address
333 Route 25a Ste 225
Rocky Point, NY 11778-8802
Phone
(631) 744-0396
NPI assigned
Jul 26, 2006
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 490761 NY Primary

Addresses

Primary practice location

333 Route 25a Ste 225
Rocky Point, NY 11778-8802

Mailing address

5 Mesa Rd
Syosset, NY 11791-6922
Phone (516) 931-0406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040107000874 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951200047 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suffolk Anesthesiology Associates PCGroup PAC ID 6204725740, 78 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 360-4000

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

711 Stewart Ave
Suite 114
Garden City, NY 11530-4719
Phone (516) 227-3254

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
490761NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Feb 1, 2024 Accepting new patients
Suffolk Anesthesiology Associates, PC CurrentSince Jun 1, 2025 Accepting new patients
Bronx Anesthesia Services, PC CurrentSince Dec 17, 2023 Accepting new patients
Office Based Anesthesia LLC CurrentSince Jun 1, 2025 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Nov 1, 2017 Accepting new patients
Long Island Anesthesiologists, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Endoscopy Center of Long Island LLC CurrentSince Apr 1, 2018 Accepting new patients
New York University Current Accepting new patients
Long Island Anesthesia Physicians LLP CurrentSince Jan 1, 1998 Accepting new patients
New York University CurrentSince Feb 1, 2024 Accepting new patients
Peconic Anesthesiologist, P.C. Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

369 E Main St
Ste 18
East Islip, NY 11730
Phone (631) 277-1600

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

711 Stewart Ave
Ste 114
Garden City, NY 11530
Phone (516) 227-3254

975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600

560 Northern Blvd
Ste 203
Great Neck, NY 11021
Phone (516) 482-0600

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

2001 Marcus Ave
Ste N18
New Hyde Park, NY 11042
Phone (516) 775-7770

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

1000 N Village Ave
Ste 508
Rockville Ctr, NY 11570
Phone (516) 764-7900

333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Networks

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

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1396768511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MESA RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916922",
            "telephone_number": "516-931-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ROUTE 25A STE 225",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788802",
            "telephone_number": "631-744-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "LEONARD",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "490761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.