Individual provider Active NPI

Lissa Kary Goldstein, M.D.

  • Family Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1679718886
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
261817 Issued in NY
Practice address
2000 Salzedo St Apt 1008
Coral Gables, FL 33134-4346
Phone
(215) 880-0198
NPI assigned
Dec 3, 2008
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 261817 NY Primary
Psychiatry Physician 2084P0800X ME139911 FL

Addresses

Primary practice location

2000 Salzedo St Apt 1008
Coral Gables, FL 33134-4346

Mailing address

2000 Salzedo St Apt 1008
Coral Gables, FL 33134-4346
Phone (215) 880-0198

Other practice location 1

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 851-1405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260115000304 FL Practitioner - Family Practice 9436316700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3850 W Buena Vista Ave
Visalia, CA 93291-8427

5209 Burnet Rd
Unit 300
Austin, TX 78756-2402

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Everly Provider Group de, P.a. CurrentSince Oct 19, 2025 Accepting new patients

Locations

5209 Burnet Rd
Unit 300
Austin, TX 78756

Interoperability endpoints

  • Direct secure messaging: lissa.goldstein.1@28386.direct.athenahealth.com
  • Direct secure messaging: lissa.goldstein.1@30093.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1679718886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SALZEDO ST APT 1008",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344346",
            "telephone_number": "215-880-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SALZEDO ST APT 1008",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344346",
            "telephone_number": "215-880-0198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174042244",
            "country_code": "US",
            "telephone_number": "717-851-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "LISSA",
        "middle_name": "KARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "261817",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME139911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.