Active NPI
Jeffrey Peter Goldstein, P.T.
- Physical Therapist
- Island Park, NY
National Provider Identifier
1407136351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9543
- Practice address
- 33 Redfield Rd
Island Park, NY 11558-1018 - Phone
- (516) 897-5399
- Fax
- (516) 897-5399
- NPI assigned
- Aug 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9543 | NY | Primary |
Addresses
Primary practice location
33 Redfield Rd
Island Park, NY 11558-1018
Mailing address
33 Redfield Rd
Island Park, NY 11558-1018
Phone (516) 897-5399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Long Beach, NY 11561
Phone (516) 238-0294
17 Spector LN
Plainview, NY 11803-4832
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9543 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Performance Physical Therapy PC | Current | Accepting new patients | |
| Jeffrey P Goldstein Otr PT PLLC | Physical Therapist | Past | Accepting new patients |
| Liht Occupational Therapy PC | Past | Accepting new patients |
Locations
1325 Franklin Ave
Ste LL105
Garden City, NY 11530
Phone (516) 280-8811
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Garden City, NY
- NPI 1285969188
-
- Physical Therapist
- Long Beach, NY
- NPI 1184507352
-
- Rehabilitation Clinic/Center
- West Hempstead, NY
- NPI 1982749677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1407136351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 REDFIELD RD",
"city": "ISLAND PARK",
"state": "NY",
"postal_code": "115581018",
"telephone_number": "516-897-5399",
"fax_number": "516-897-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 REDFIELD RD",
"city": "ISLAND PARK",
"state": "NY",
"postal_code": "115581018",
"telephone_number": "516-897-5399",
"fax_number": "516-897-5399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "JEFFREY",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-24",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "9543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Island Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.