Active NPI
Eli R Goldner, MD
- Internal Medicine Physician
- Yonkers, NY
National Provider Identifier
1497848600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 164990
- Practice address
- MMG - Cross County
1010 Central Park Avenue
Yonkers, NY 10704 - Phone
- (914) 964-4000
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 164990 | NY | Primary |
Addresses
Primary practice location
MMG - Cross County
1010 Central Park Avenue
Yonkers, NY 10704
Mailing address
1010 Central PK Ave
Yonkers, NY 10704-1044
Phone (914) 964-4000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164990 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Internal Medicine | Current | Accepting new patients |
Locations
2100 Bartow Ave
Bronx, NY 10475
Phone (718) 320-5300
111 E 210th St
Bronx, NY 10467
1010 Central Park Ave
Yonkers, NY 10704
Phone (914) 964-4000
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1497848600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 CENTRAL PK AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107041044",
"telephone_number": "914-964-4000",
"fax_number": "914-964-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MMG - CROSS COUNTY",
"address_2": "1010 CENTRAL PARK AVENUE",
"city": "YONKERS",
"state": "NY",
"postal_code": "10704",
"telephone_number": "914-964-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDNER",
"first_name": "ELI",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "164990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.