Individual provider Active NPI

Neeraj Goswamy, M.D.

  • Obstetrics & Gynecology Physician
  • Long Beach, NY
National Provider Identifier
1780793604
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
221367-1 Issued in NY
Practice address
111 Mitchell Ave
Long Beach, NY 11561-3819
Phone
(516) 432-2368
Fax
(516) 526-9030
NPI assigned
Aug 30, 2006
Last updated
Oct 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 221367-1 NY Primary

Addresses

Primary practice location

111 Mitchell Ave
Long Beach, NY 11561-3819

Mailing address

111 Mitchell Ave
Long Beach, NY 11561-3819
Phone (516) 432-2368

Other identifiers 1

IdentifierTypeStateIssuer
02460924MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329001590 NY Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Peripheral Vascular Disease 3375435779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Icahn School of Medicine at Mount Sinai, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vohra Wound Physicians of Ny PLLCGroup PAC ID 0446410435, 35 clinicians

Practice addresses (Care Compare)

5920 Van Doren St
Corona, NY 11368-4018
Phone (718) 592-9400

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1142
Removal of skin lesions193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
221367-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Wound Physician Services, PLLC CurrentSince Mar 2, 2016 Accepting new patients
Vohra Wound Physicians of Ny, PLLC CurrentSince Jan 6, 2020 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Apr 1, 2020 Accepting new patients
Caledonian Health Center Past Accepting new patients
University Group Medical Associates, P.C Obstetrics & Gynecology Past Accepting new patients
Coney Island Medical Practice Plan, P.C. Past Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

28 Kellogg Rd
Cortland, NY 13045
Phone (607) 753-6060

5920 Van Doren St
Flushing, NY 11368
Phone (718) 592-2000

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

50 Main St
White Plains, NY 10606
Phone (914) 682-2137

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1780793604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MITCHELL AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613819",
            "telephone_number": "516-432-2368",
            "fax_number": "516-526-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MITCHELL AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613819",
            "telephone_number": "516-432-2368",
            "fax_number": "516-526-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSWAMY",
        "first_name": "NEERAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "221367-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02460924",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.