Individual provider Active NPI

Leslie Goldstone-Orly, MD

  • Obstetrics & Gynecology Physician
  • Trumbull, CT
National Provider Identifier
1568561355
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
034315 Issued in CT
Practice address
5520 Park Ave
Ste 302
Trumbull, CT 06611
Phone
(203) 374-1018
Fax
(203) 396-0699
NPI assigned
Sep 21, 2006
Last updated
Oct 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 034315 CT Primary

Addresses

Primary practice location

5520 Park Ave
Ste 302
Trumbull, CT 06611

Mailing address

5520 Park Ave
Ste 302
Trumbull, CT 06611
Phone (203) 374-1018

Other identifiers 1

IdentifierTypeStateIssuer
001343152MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20071126000237 CT Practitioner - Obstetrics/Gynecology 5890883094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

247 Broad St
Milford, CT 06460-3273
Phone (203) 783-0543

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034315CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Obstetrics & Gynecology CurrentSince Sep 15, 2024 Accepting new patients
Yale University Obstetrics & Gynecology CurrentSince Nov 21, 2024 Accepting new patients
Northeast Medical Group, Inc CurrentSince Sep 15, 2024 Accepting new patients
Yale University CurrentSince Nov 21, 2024 Accepting new patients
Physicians for Women's Health LLC Obstetrics & Gynecology CurrentSince Dec 15, 1997 Accepting new patients

Locations

22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

247 Broad St
Milford, CT 06460
Phone (203) 783-0543

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

5520 Park Ave
Ste 302
Trumbull, CT 06611
Phone (203) 372-0710

5520 Park Ave
Ste M1700
Trumbull, CT 06611
Phone (203) 371-7177

5520 Park Ave
Ste WP2700
Trumbull, CT 06611
Phone (203) 374-1018

Interoperability endpoints

  • Direct secure messaging: leslie.goldstone-orly.1@10170.direct.athenahealth.com
  • Direct secure messaging: lgoldstoneorly6186@direct.ynhh.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1568561355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 PARK AVE",
            "address_2": "STE 302",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "06611",
            "telephone_number": "203-374-1018",
            "fax_number": "203-396-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 PARK AVE",
            "address_2": "STE 302",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "06611",
            "telephone_number": "203-374-1018",
            "fax_number": "203-396-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTONE-ORLY",
        "first_name": "LESLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "034315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001343152",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.