Active NPI
Carey S Goltzman, MD
- Pediatrics Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 196059
- Practice address
- 100 Woods Rd
Westchester Medical Center
Valhalla, NY 10595-1530 - Phone
- (914) 493-7513
- Fax
- (914) 493-1281
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 196059 | NY | |
| Pediatrics Physician | 208000000X | 196059 | NY | Primary |
Addresses
Primary practice location
100 Woods Rd
Westchester Medical Center
Valhalla, NY 10595-1530
Mailing address
22 Saw Mill River Rd
2ND Floor
Hawthorne, NY 10532-1533
Phone (914) 493-7513
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01581768 | Medicaid | NY | |
| 003109974 | Medicaid | CT |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatrics | Current | Accepting new patients |
| North Shore-Lij Medical PC | Current | Accepting new patients |
Locations
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
22 Saw Mill River Rd
Ste 2
Hawthorne, NY 10532
Phone (914) 593-1606
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
300 Community Dr
Plandome, NY 11030
100 Woods Rd
#O
Valhalla, NY 10595
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- cgoltzman77600@northwell.direct-ci.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1790786770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SAW MILL RIVER RD",
"address_2": "2ND FLOOR",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321533",
"telephone_number": "914-493-7513",
"fax_number": "914-493-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"address_2": "WESTCHESTER MEDICAL CENTER",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-493-7513",
"fax_number": "914-493-1281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLTZMAN",
"first_name": "CAREY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "196059",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "196059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01581768",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003109974",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.