Active NPI
Raquel Kara Goldstein, RPA-C
- Physician Assistant
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 017151
- Practice address
- 2500 Marcus Ave Ste 105
New Hyde Park, NY 11042-1018 - Phone
- (516) 358-1200
- NPI assigned
- Oct 29, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 017151 | NY | Primary |
Addresses
Primary practice location
2500 Marcus Ave Ste 105
New Hyde Park, NY 11042-1018
Mailing address
9 Harvard Rd
Woodmere, NY 11598-1926
Phone (917) 826-9999
Other practice location 1
796 Deer Park Ave
North Babylon, NY 11703-4304
Phone (631) 517-0957
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rgoldstein334228@nyumc.direct-ci.com |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
340 W Park Ave
Long Beach, NY 11561-3213
Phone (516) 431-5064
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017151 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
2500 Marcus Ave
Ste 105
New Hyde Park, NY 11042
Phone (516) 358-1200
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- rgoldstein334228@nyumc.direct-ci.com
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1841628849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HARVARD RD",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981926",
"telephone_number": "917-826-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 MARCUS AVE STE 105",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421018",
"telephone_number": "516-358-1200"
}
],
"practiceLocations": [
{
"address_1": "796 Deer Park Ave",
"address_purpose": "LOCATION",
"city": "North Babylon",
"state": "NY",
"postal_code": "117034304",
"country_code": "US",
"telephone_number": "631-517-0957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "RAQUEL",
"middle_name": "KARA",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-29",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "017151",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rgoldstein334228@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "2500 Marcus Ave Ste 105",
"city": "New Hyde Park",
"state": "NY",
"country_code": "US",
"postal_code": "110421018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.