Evan Brad Goldstein, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

247258 Issued in NY

Practice address

44E 12TH St MD1
New York, NY 10003-4667

Phone

(212) 206-1501

NPI assigned

Dec 24, 2007

Sex

Male

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

Specialty

General Surgery

Education

Rowan University School of Osteopathic Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

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

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.

• Bespoke Surgical, PC

  • Surgery Physician
  • New York, NY
  • NPI 1063733863
  Medicare reassignment NPD Authorized official
• Central Brooklyn Medical Group PC

  dba PREFERRED HEALTH PARTNERS / AdvantageCare Physicians

  • Allergy Physician
  • New York, NY
  • NPI 1689627184

  Surgery

  NPD (past)
• Maimonides Medical Center General Surgery FPP

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1235386905
  NPD (past)

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1508040726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44E 12TH ST MD1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034667",
            "telephone_number": "212-206-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44E 12TH ST MD1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034667",
            "telephone_number": "212-206-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "EVAN",
        "middle_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "247258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen E Goldstein, D.D.S.
• Elyse Valerie Goldstein, PH.D.
• Eric Simon Goldstein, M.D.
• Erica Goldstein
• Esther Goldstein, M.A., CCC/SLP, TSHH
• Francie Lynn Goldstein, MD
• Gabriella Lilly Goldstein, M.D.
• Galina Froim Goldstein, RDN
• Gary Robert Goldstein, D.D.S.
• Glenn Allan Goldstein, MD

• Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.
• 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.