NPIMap

Individual provider Active NPI

Gary D Goldberg, MD

  • Urology Physician
  • Manhasset, NY
National Provider Identifier
1790764736
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
181762 Issued in NY
Practice address
535 Plandome Rd
Manhasset, NY 11030-1961
Phone
(516) 627-6188
Fax
(516) 627-9397
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 181762 NY Primary

Addresses

Primary practice location

535 Plandome Rd
Manhasset, NY 11030-1961

Mailing address

535 Plandome Rd
Manhasset, NY 11030-1961
Phone (516) 627-6188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091103000024 NY Practitioner - Urology 1456498922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Albert Einstein College of Medicine of Yeshiva University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Medical Professionals PLLCGroup PAC ID 6406868462, 91 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 562-6000

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100

340 Broadhollow Rd
Suite E
Farmingdale, NY 11735-4807
Phone (516) 280-7930

4100 Duff PL
A
Seaford, NY 11783-1324
Phone (516) 520-8080

535 Plandome Rd
FRNT 3
Manhasset, NY 11030-1961
Phone (516) 627-6188

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-3000

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC Urology CurrentSince Mar 10, 2014 Accepting new patients
Hudson Valley Lithotripsy Associates, P.C. Urology CurrentSince Aug 1, 2023 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Nov 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9010 Strada Stell Ct
Ste 103
Naples, FL 34109
Phone (800) 669-7744

480 Hicksville Rd
Bethpage, NY 11714
Phone (516) 796-2222

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428

535 Plandome Rd
Frnt 3
Manhasset, NY 11030
Phone (516) 627-6188

27005 76th Ave
North New Hyde Pk, NY 11040

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-6100

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

2500 Nesconset Hwy
Bldg 21A
Stony Brook, NY 11790
Phone (631) 751-4000

Interoperability endpoints

  • Direct secure messaging: garygoldberg@imppllc.allscriptsdirect.net

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 4

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1790764736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301961",
            "telephone_number": "516-627-6188",
            "fax_number": "516-627-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301961",
            "telephone_number": "516-627-6188",
            "fax_number": "516-627-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "GARY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "181762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.