Individual provider Active NPI

George J Goldman, MD

  • Cardiovascular Disease Physician
  • Stuart, FL
National Provider Identifier
1841255783
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
105765 Issued in FL
Practice address
1001 SE Monterey Commons Blvd
Suite 300
Stuart, FL 34996-3329
Phone
(516) 627-6622
Fax
(516) 627-7845
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 131087 NY
Cardiovascular Disease Physician 207RC0000X 105765 FL Primary

Addresses

Primary practice location

1001 SE Monterey Commons Blvd
Suite 300
Stuart, FL 34996-3329

Mailing address

1001 SE Monterey Commons Blvd
Suite 300
Stuart, FL 34996-3329
Phone (516) 627-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070614000587 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Family Practice 9638277601 Reassigns benefits to 1 organization
I20151228002078 FL Practitioner - Cardiovascular Disease (Cardiology) 9638277601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Family Practice
Education
State University of New York Downstate Medical Center, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Primary Care Medical Associates PCGroup PAC ID 1456383165, 6 clinicians
Stuart Cardiology Group LLCGroup PAC ID 7113959313, 43 clinicians

Practice addresses (Care Compare)

1000 Northern Blvd
Suite 230
Great Neck, NY 11021-5341
Phone (516) 627-4433

1001 SE Monterey Comm
Suite 300
Stuart, FL 34996-3329
Phone (772) 286-9400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105765FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Cardiology Group LLC Cardiovascular Disease CurrentSince Nov 1, 2015 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Nov 2, 2015 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Nov 2, 2015 Accepting new patients
Community Cardiology,PC Cardiovascular Disease Current Accepting new patients

Locations

11380 SW Village Pkwy
Ste 300
Port St Lucie, FL 34987

310 SE Veranda Falls Way
Port St Lucie, FL 34984
Phone (561) 800-4111

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1001 SE Monterey Commons Blvd
Ste 300
Stuart, FL 34996
Phone (561) 286-9400

299 E Shore Rd
Great Neck, NY 11023
Phone (516) 482-1269

800 Community Dr
Manhasset, NY 11030
Phone (516) 627-6622

800 Community Dr
Ste 3
Manhasset, NY 11030

Interoperability endpoints

  • Direct secure messaging: george.goldman.p1@direct.scg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 3

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1841255783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY COMMONS BLVD",
            "address_2": "SUITE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "516-627-6622",
            "fax_number": "516-627-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY COMMONS BLVD",
            "address_2": "SUITE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "516-627-6622",
            "fax_number": "516-627-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "GEORGE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "131087",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "105765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.