Marina Elli Goldis, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

266491 Issued in NY

Practice address

103 Quentin Rd, FL2
Ste D
Brooklyn, NY 11223

Phone

(347) 462-9292

Fax

(646) 393-5500

NPI assigned

Sep 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• Coney Island Medical Practice Plan, P.C.

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1386951762
  Medicare reassignment NPD
• Wyckoff Professional Medical Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1659710796

  Pediatrics

  Medicare reassignment NPD
• Advanced Pediatric Practice PC

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1588697858
  NPD (past)
• Brokhin Medical, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
  • NPI 1770816746
  NPD (past)
• Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1700886322
  NPD (past)

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1457601460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 QUENTIN RD, FL2",
            "address_2": "STE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "347-462-9292",
            "fax_number": "646-393-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 QUENTIN RD, FL2",
            "address_2": "STE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "347-462-9292",
            "fax_number": "646-393-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDIS",
        "first_name": "MARINA",
        "middle_name": "ELLI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "266491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Golding, OTR/L
• Sabine Golding
• Shayna Golding, SPECIAL ED
• Vanessa Sophia Golding, RN
• Biana Goldinstyn
• Henna Goldish
• Onesio Goldman-Zunguza, RN
• Aimee Lynn Goldman, NURSE PRACTITIONER
• Alan P Goldman, M.D.
• Bassheva Goldman, CCC-SLP

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.