Active NPI
Priya Goel
- Family Medicine Physician
- Long Island City, NY
National Provider Identifier
1821405622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 295159
- Practice address
- 3636 33Rd St Ste 306
Long Island City, NY 11106-2329 - Phone
- (844) 403-4325
- Fax
- (424) 625-0010
- NPI assigned
- Jul 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 295159 | NY | Primary |
Addresses
Primary practice location
3636 33Rd St Ste 306
Long Island City, NY 11106-2329
Mailing address
3636 33Rd St Ste 306
Long Island City, NY 11106-2329
Phone (844) 403-4325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- 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
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
111 Mulberry St
Apt 4a
New York, NY 10013-4671
5999 Harpers Farm Rd
Suite W230
Columbia, MD 21044-3015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Maryland Star Choice LLC | Current | Accepting new patients |
Locations
5999 Harpers Farm Rd
Ste W230
Columbia, MD 21044
Phone (347) 294-5166
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1821405622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 33RD ST STE 306",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111062329",
"telephone_number": "844-403-4325",
"fax_number": "424-625-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 33RD ST STE 306",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111062329",
"telephone_number": "844-403-4325",
"fax_number": "424-625-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEL",
"first_name": "PRIYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "295159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.