Active NPI
Jonah Samuel Goldblatt, MD
- Ophthalmology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 39439
- Practice address
- 1305 York Ave FL 11
New York, NY 10021-5663 - Phone
- (646) 962-2020
- Fax
- (646) 962-0602
- NPI assigned
- Apr 1, 2021
- Last updated
- Sep 21, 2026
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 39439 | ME | |
| Specialist | 174400000X | 39439 | ME | |
| Ophthalmology Physician | 207W00000X | 334979 | NY | |
| Ophthalmology Physician | 207W00000X | 39439 | NH | Primary |
| Specialist | 174400000X | 39439 | NH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | LA |
Addresses
Primary practice location
1305 York Ave FL 11
New York, NY 10021-5663
Mailing address
155 Borthwick Ave Ste 200E
Portsmouth, NH 03801-4184
Phone (603) 436-1773
Other practice location 1
155 Borthwick Ave Ste 200E
Portsmouth, NH 03801-4184
Phone (603) 436-1773
Other practice location 2
1305 York Ave Fl 11
New York, NY 10021-5663
Phone (646) 962-2020
Other practice location 3
700 Harrison Ave Unit 515
Boston, MA 02118-2738
Phone (603) 380-8959
Other practice location 4
99 US Route 1 Byp Ste B
Kittery, ME 03904-1792
Phone (603) 436-1773
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | jog4038@direct.nyp.org | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Tufts University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 York Ave
FL 11
New York, NY 10021-5663
Phone (646) 962-2020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334979 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Ophthalmology | Current | Accepting new patients |
Locations
1305 York Ave
Fl 11
New York, NY 10021
Phone (646) 962-2020
212 E 69th St
Ste 5
New York, NY 10021
Phone (646) 962-2020
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jog4038@direct.nyp.org
Organizations & group practices 2
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.
-
dba WCMC Eye Associates-Cornea
- Ophthalmology Physician
- New York, NY
- NPI 1811201148
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba New York Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
dba New York-Presbyterian Hospital
- Ambulance
- New York, NY
- NPI 1174628473
Hospital
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
dba New York-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1811575509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 BORTHWICK AVE STE 200E",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014184",
"telephone_number": "603-436-1773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 YORK AVE FL 11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215663",
"telephone_number": "646-962-2020",
"fax_number": "646-962-0602"
}
],
"practiceLocations": [
{
"address_1": "155 Borthwick Ave Ste 200E",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "NH",
"postal_code": "038014184",
"country_code": "US",
"telephone_number": "603-436-1773",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1305 York Ave Fl 11",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100215663",
"country_code": "US",
"telephone_number": "646-962-2020",
"fax_number": "646-962-0602",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Harrison Ave Unit 515",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182738",
"country_code": "US",
"telephone_number": "603-380-8959",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "99 US Route 1 Byp Ste B",
"address_purpose": "LOCATION",
"city": "Kittery",
"state": "ME",
"postal_code": "039041792",
"country_code": "US",
"telephone_number": "603-436-1773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDBLATT",
"first_name": "JONAH",
"middle_name": "SAMUEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-01",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ME",
"license": "39439",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "39439",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "334979",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NH",
"license": "39439",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NH",
"license": "39439",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "1305 York Ave Fl 11",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100215663",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "1305 York Ave Fl 11",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100215663",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jog4038@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "1305 York Ave Fl 11",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100215663",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.