Individual provider Active NPI

Nasim Golchin, MD

  • Internal Medicine Physician
  • Bellerose, NY
National Provider Identifier
1407316508
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
320676 Issued in NY
Practice address
24520 Grand Central Pkwy Apt No6M
Bellerose, NY 11426-2741
Phone
(310) 405-4610
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 320676 NY Primary

Addresses

Primary practice location

24520 Grand Central Pkwy Apt No6M
Bellerose, NY 11426-2741

Mailing address

24520 Grand Central Pkwy Apt No6M
Bellerose, NY 11426-2741
Phone (310) 405-4610

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
I20230720001631 NY Practitioner - Internal Medicine 9436519576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

11120 Merrick Blvd
Jamaica, NY 11433-4016
Phone (718) 206-9888

13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Oct 14, 2023 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jun 7, 2023 Accepting new patients
Jamaica Hospital CurrentSince Oct 14, 2023 Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients

Locations

11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

300 Community Dr
Plandome, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

Networks

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

Interoperability endpoints

  • Direct secure messaging: ngolchin165204@direct.medisys.org

Organizations & group practices 4

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 1

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1407316508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24520 GRAND CENTRAL PKWY APT NO6M",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262741",
            "telephone_number": "310-405-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24520 GRAND CENTRAL PKWY APT NO6M",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262741",
            "telephone_number": "310-405-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLCHIN",
        "first_name": "NASIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "320676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

Verify at the official NPI Registry.