Eric Luria Goldwaser, DO, PHD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

316542-01 Issued in NY

Practice address

1165 York Ave
New York, NY 10065-7917

Phone

(646) 962-3199

NPI assigned

Mar 19, 2018

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bxt9001@direct.nyp.org

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.

• The New York and Presbyterian Hospital

  dba Ambulatory Care Network

  • Nutritionist
  • New York, NY
  • NPI 1891857025
  NPD

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1619471323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657917",
            "telephone_number": "646-962-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657917",
            "telephone_number": "646-962-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWASER",
        "first_name": "ERIC",
        "middle_name": "LURIA",
        "name_prefix": "Dr.",
        "credential": "DO, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "316542-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Goldstone
• Andrew Brooks Goldstone, MD
• Hana Monroe Goldstone, DPT
• Robert Neil Goldstone, MD
• Hadar Goldvaser, MD
• Brooke Goldwasser
• Brian A Goldweber, MD
• Jay Goldwein, M.A.
• Ilaina Goldwert, PH.D.
• Mateusz Golebiewski, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.