Active NPI
Nira A. Goldstein, M.D.
- Otolaryngology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 182933-1
- Practice address
- 450 Clarkson Ave
Suite J
Brooklyn, NY 11203-2056 - Phone
- (718) 270-4701
- Fax
- (718) 270-3924
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 182933-1 | NY | Primary |
Addresses
Primary practice location
450 Clarkson Ave
Suite J
Brooklyn, NY 11203-2056
Mailing address
450 Clarkson Ave
Box 1262
Brooklyn, NY 11203-2056
Phone (718) 270-8867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01822426 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182933-1 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Otolaryngology | Current | Accepting new patients |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients |
Locations
450 Clarkson Ave
Ste J
Brooklyn, NY 11203
Phone (718) 270-1714
450 Clarkson Ave
#1262
Brooklyn, NY 11203
Phone (718) 270-7379
450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ngoldstein1052681@nychhc.direct-ci.com
- niragoldstein@sunydmc.allscriptsdirect.net
- niragoldstein@mai.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1366506271
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Otolaryngology Physician
- Brooklyn, NY
- NPI 1194772632
-
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
- NPI 1689715476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689658288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"address_2": "BOX 1262",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032056",
"telephone_number": "718-270-8867",
"fax_number": "718-270-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"address_2": "SUITE J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032056",
"telephone_number": "718-270-4701",
"fax_number": "718-270-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "NIRA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "182933-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01822426",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.