Individual provider Active NPI

Ariella Shira Goldsmith, PA-C

  • Physician Assistant
  • Cedarhurst, NY
National Provider Identifier
1710766027
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
030598 Issued in NY
Practice address
464 W Broadway
Cedarhurst, NY 11516-1531
Phone
(516) 569-6487
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 030598 NY Primary

Addresses

Primary practice location

464 W Broadway
Cedarhurst, NY 11516-1531

Mailing address

815 Central Ave
Lawrence, NY 11559-1310
Phone (516) 666-1724

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218000944 NY Practitioner - Physician Assistant 8820525645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayer J Saad MD PCGroup PAC ID 2769629914, 44 clinicians

Practice addresses (Care Compare)

158 Hempstead Ave
Lynbrook, NY 11563-1605
Phone (516) 881-9560

372 Post Ave
Suite 106
Westbury, NY 11590-2201
Phone (516) 333-1444

8212 151St Ave
Howard Beach, NY 11414-1793
Phone (718) 843-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030598NYMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: ariellagoldsmith@mjsmpdtwhp-ny.direct.office.nextgen.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1710766027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CENTRAL AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591310",
            "telephone_number": "516-666-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 W BROADWAY",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161531",
            "telephone_number": "516-569-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "ARIELLA",
        "middle_name": "SHIRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

Verify at the official NPI Registry.