NPIMap

Individual provider Active NPI

Lyall Arnold Gorenstein

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pomona, NY
National Provider Identifier
1770580565
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
189748 Issued in NY
Practice address
5A Medical Park Dr
Pomona, NY 10970-3516
Phone
(845) 362-0075
Fax
(845) 362-1716
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 189748 NY Primary

Addresses

Primary practice location

5A Medical Park Dr
Pomona, NY 10970-3516

Mailing address

5A Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-0075

Other identifiers 1

IdentifierTypeStateIssuer
01408933MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040315000082 NY Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 3274422571 Reassigns benefits to 4 organizations
I20090707000301 NJ Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 3274422571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bergen Thoracic and Vascular Associates PCGroup PAC ID 0042440174, 3 clinicians
Rockland Thoracic and Vascular Associates, P.C.Group PAC ID 8325936479, 10 clinicians
Trustees of Columbia University in the City of New YorkGroup PAC ID 8527972546, 2,262 clinicians
Hudson Valley Thoracic and Vascular Assoc. PLLCGroup PAC ID 8527956663, 7 clinicians

Practice addresses (Care Compare)

25 Rockwood PL
Suite 330
Englewood, NJ 07631-4958
Phone (201) 405-5195

350 Engle St
Berrie BLDG Suite 6586
Englewood, NJ 07631-1808
Phone (201) 408-5195

5 A Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-1081

622 W 168TH St
New York, NY 10032-3720
Phone (646) 317-7111

70 Hatfield LN
Suite 202
Goshen, NY 10924-6735
Phone (845) 291-3656

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104

Merit-based Incentive Payment System (MIPS)

Final score
70.41 of 100Reported as group
Quality
41.6
Improvement activities
40
Cost
62.56

Merit-based Incentive Payment System (MIPS)

Final score
78.07 of 100Reported as group
Quality
45.39
Improvement activities
40
Cost
77.3

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Doctors of New Jersey, P. C. CurrentSince Jul 17, 2018 Accepting new patients
Hudson Valley Thoracic & Vascular Assoc. PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 1, 2010 Accepting new patients
Bergen Thoracic and Vascular Associates P.C. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 1, 2014 Accepting new patients
The Trustees of Columbia University in the City of New York Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 1, 2013 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 5, 2018 Accepting new patients
Columbia Doctors of New Jersey, P. C. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 17, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 5, 2018 Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients
The Trustees of Columbia University in the City of New York Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

25 Rockwood Pl
Ste 330
Englewood, NJ 07631
Phone (201) 405-5195

350 Engle St
Ste 65
Englewood, NJ 07631
Phone (201) 408-5195

500 Grand Ave
Fl 1
Englewood, NJ 07631
Phone (201) 227-1760

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

70 Hatfield Ln
Ste 204
Goshen, NY 10924
Phone (845) 291-1260

70 Hatfield Ln
Ste 202
Goshen, NY 10924
Phone (845) 291-3656

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
#3322
New York, NY 10032
Phone (212) 305-3408

622 W 168th St
Ph 3303
New York, NY 10032
Phone (212) 305-2654

161 Fort Washington Ave
Fl 3
New York, NY 10032
Phone (212) 305-3408

161 Fort Washington Ave
#310
New York, NY 10032
Phone (212) 305-3408

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

5A Medical Park Dr
Pomona, NY 10970
Phone (845) 362-0075

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: gorensl@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 11

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1770580565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-362-0075",
            "fax_number": "845-362-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5A MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-362-0075",
            "fax_number": "845-362-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORENSTEIN",
        "first_name": "LYALL",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "189748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01408933",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.