Individual provider Active NPI

Emily E Gottstein, RPAC

  • Physician Assistant
  • Orchard Park, NY
National Provider Identifier
1720065485
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009432 Issued in NY
Practice address
3045 Southwestern Blvd Ste 104
Orchard Park, NY 14127-1209
Phone
(716) 675-7000
Fax
(716) 674-4630
NPI assigned
Dec 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 009432 NY
Surgical Physician Assistant 363AS0400X 009432 NY
Physician Assistant 363A00000X 009432 NY Primary

Addresses

Primary practice location

3045 Southwestern Blvd Ste 104
Orchard Park, NY 14127-1209

Mailing address

3045 Southwestern Blvd Ste 104
Orchard Park, NY 14127-1209
Phone (716) 675-7000

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
I20050711000403 NY Practitioner - Physician Assistant 6709812910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3045 Southwestern Blvd
Suite 104
Orchard Park, NY 14127-1209

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009432NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa S. Ball, Family Health NP, PLLC PastSince Oct 12, 2017 Accepting new patients
Joseph B. Neiman, MD, PC PastSince May 20, 2002 Accepting new patients

Organizations & group practices 3

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1720065485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 SOUTHWESTERN BLVD STE 104",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271209",
            "telephone_number": "716-675-7000",
            "fax_number": "716-674-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 SOUTHWESTERN BLVD STE 104",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271209",
            "telephone_number": "716-675-7000",
            "fax_number": "716-674-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSTEIN",
        "first_name": "EMILY",
        "middle_name": "E",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009432",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "009432",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.