Stephen F Goeller Jr., RN, FNP-BC, ENP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F341571 Issued in NY

Practice address

228 E Route 59 # 144
Nanuet, NY 10954-2905

Phone

(926) 269-3020

NPI assigned

Sep 21, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephen.goeller.1@25843.direct.athenahealth.com

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.

• Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467815928
  Medicare reassignment NPD
• Sullivan Emergency Services PC

  • Emergency Medicine Physician
  • Harris, NY
  • NPI 1528338480
  Medicare reassignment
• Dispatch Health Medical PC

  • Emergency Medicine Physician
  • Upper Saddle River, NJ
  • NPI 1447716873
  Medicare reassignment

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1619425410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 E ROUTE 59 # 144",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542905",
            "telephone_number": "929-269-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E ROUTE 59 # 144",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542905",
            "telephone_number": "926-269-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 E 77th St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751912",
            "country_code": "US",
            "telephone_number": "646-687-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOELLER",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN, FNP-BC, ENP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00712300",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "9226",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00712300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dragana Geraghty
• Marie Sandra Germain, RN
• Daniell Germana
• Tiffany Gibson, LPN
• Harinder P Gill, MD
• Rochelle Goldstein, LCSW
• Olivia Ida Gomez, RN
• Deliela Gonzalez
• Julie Gonzalez, REGISTERED NURSE
• Trevonafaith Gordon, LPN

• Family Nurse Practitioner in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.