Active NPI
Lara Nicole Goldstein, M.D.
- Emergency Medicine Physician
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME160989
- Practice address
- 20900 Biscayne Boulevard
Aventura, FL 33180 - Phone
- (305) 682-2483
- Fax
- (305) 682-5250
- NPI assigned
- May 20, 2020
- Reactivated
- Feb 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME160989 | FL | Primary |
| Emergency Medicine Physician | 207P00000X | 60258 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
20900 Biscayne Boulevard
Aventura, FL 33180
Mailing address
20900 Biscayne Boulevard
Aventura, FL 33180
Phone (305) 682-2483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-2000
911 Bypass Rd
BLDG a
Pikeville, KY 41501-1689
Phone (606) 430-3500
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 737-1212
Hospital & facility affiliations
- Memorial Regional Hospital
- Baptist Health Hardin
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 81.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60258 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Elizabethtown Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Inphynet South Broward LLC | Emergency Medicine | Current | Accepting new patients |
Locations
3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Hollywood, FL
- NPI 1871521880
-
- Emergency Medicine Physician
- Elizabethtown, KY
- NPI 1528003316
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
-
- Multi-Specialty Clinic/Center
- Cheyenne, WY
- NPI 1891599502
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
-
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1811510282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20900 BISCAYNE BOULEVARD",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-682-2483",
"fax_number": "305-682-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20900 BISCAYNE BOULEVARD",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-682-2483",
"fax_number": "305-682-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "LARA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"deactivation_date": "2022-01-18",
"reactivation_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME160989",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "60258",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.