Jose A Goris, M.D.
Individual provider Active NPI General Practice Physician · New York, NY
NPI 1790714962 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1790714962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 190663 (NY)
- Practice address
- 435 Fort Washington Ave
Suite 1C
New York, NY 10033-3506 - Phone
- (212) 923-0408
- Fax
- (212) 923-4032
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Best Care Ever Med Group, PC
Jose a Goris MD PC
Practice addresses (Care Compare)
3010 Grand Concourse
Apt L3
Bronx, NY 10458-1534
Phone (718) 220-2433
435 Fort Washington Ave
Apt 1C
New York, NY 10033-3527
Phone (212) 923-0408
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090304000664 | NY | Practitioner - Family Practice |
2668537556 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190663 | NY | MD | Internal Medicine Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose a Goris, MD PC | General Practice | Current |
Accepting new patients |
| Best Care Ever Med Group, PC | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Jose Goris MD PC | Past | Accepting new patients | |
| Best Care Ever I Inc | General Practice | Past | Accepting new patients |
| Excelcium Med Group, PC | Anatomic Pathology & Clinical Pathology | Past |
Accepting new patients |
Locations
3010 Grand Concourse
Apt L3
Bronx, NY 10458
Phone (718) 220-2433
3038 Grand Concourse
Bronx, NY 10458
Phone (718) 220-2433
435 Fort Washington Ave
Apt 1C
New York, NY 10033
Phone (212) 434-3420
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEHBBD/Endpoint/CEHBBD
- https://fhir4.healow.com/fhir/r4/ICBJAA
- https://fhir4.healow.com/fhir/r4/DAHHAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 190663 | NY | |
| General Practice Physician | 208D00000X | 190663 | NY | Yes |
Addresses
Primary practice location
435 Fort Washington Ave
Suite 1C
New York, NY 10033-3506
Mailing address
435 Fort Washington Ave
Suite 1C
New York, NY 10033-3506
Phone (212) 923-0408
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01740610 | Medicaid | NY |
Other providers in New York, NY
- Tabitha Goring
- Tulasi Srinivasa Kumar Goriparthi
- Daphne Rebecca Goris
- Evelyn M Goris
- Fabiola Goris
- Yuderka Goris
- Hagen Gorki
- Brett David Gorkin
- Marianne Gorlyn
- Jade R Gormady
All providers in New York, NY · General Practice Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.