Active NPI
Eric Reuven Goldman, M.D.
- Internal Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 231326
- Practice address
- 1740 Eastchester Rd
Bronx, NY 10461-2300 - Phone
- (718) 518-2299
- Fax
- (718) 518-2676
- NPI assigned
- Dec 5, 2006
- Last updated
- Sep 8, 2016
- 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 | 231326 | NY | Primary |
Addresses
Primary practice location
1740 Eastchester Rd
Bronx, NY 10461-2300
Mailing address
1740 Eastchester Rd
Bronx, NY 10461-2300
Phone (718) 518-2299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231326 | Other | NY | LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1740 Eastchester Rd
Bronx, NY 10461-2300
Phone (718) 518-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calvary Hospital Inc | Current | Accepting new patients | |
| Calvary Hospital Inc | Current | Accepting new patients | |
| Regional Physician Services, PC | Internal Medicine | Past | Accepting new patients |
Locations
1740 Eastchester Rd
Bronx, NY 10461
Phone (718) 518-2000
Interoperability endpoints
- https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Archcare | Hospital | Corporate Director W-2 Managing Employee |
Feb 2, 2024 Feb 2, 2024 |
| Calvary Hosptial Hospice | Hospice | Contracted Managing Employee | Feb 2, 2024 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Special Hospital
- Bronx, NY
- NPI 1003858390
Corporate Director, W-2 Managing Employee
-
dba Calvary Hospital Hospice
- Community Based Hospice Care Agency
- Bronx, NY
- NPI 1396756524
Contracted Managing Employee
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Special Hospital
- Bronx, NY
- NPI 1003858390
-
- Long Term Care Hospital
- Bronx, NY
- NPI 1528495306
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1508857343
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": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1548328230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 EASTCHESTER RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104612300",
"telephone_number": "718-518-2299",
"fax_number": "718-518-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 EASTCHESTER RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104612300",
"telephone_number": "718-518-2299",
"fax_number": "718-518-2676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "ERIC",
"middle_name": "REUVEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "231326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "231326",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.