Individual provider Active NPI

Cary Goldsman, M.D.

  • Specialist
  • Staten Island, NY
National Provider Identifier
1851473011
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
157529 Issued in NY
Practice address
2344 Victory Blvd
Staten Island, NY 10314-6607
Phone
(718) 494-7546
Fax
(718) 982-1613
NPI assigned
Oct 19, 2006
Last updated
Jul 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 157529 NY Primary

Addresses

Primary practice location

2344 Victory Blvd
Staten Island, NY 10314-6607

Mailing address

652 Harris Ave
Staten Island, NY 10314-4361
Phone (718) 494-7546

Other identifiers 1

IdentifierTypeStateIssuer
01013767MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060317000036 NY Practitioner - Dermatology 7618984568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2344 Victory Blvd
Staten Island, NY 10314-6607
Phone (718) 494-7546

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions572
Skin biopsy121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
157529NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Goldsman, M.D., P.C. CurrentSince Oct 1, 2005 Accepting new patients

Locations

2035 Ralph Ave
Brooklyn, NY 11234
Phone (718) 209-1072

1550 Richmond Ave
Staten Island, NY 10314
Phone (718) 370-7700

1550 Richmond Ave
Ste 203
Staten Island, NY 10314
Phone (718) 370-1250

2344 Victory Blvd
Staten Island, NY 10314
Phone (718) 494-7546

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1851473011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 HARRIS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144361",
            "telephone_number": "718-494-7546",
            "fax_number": "718-982-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146607",
            "telephone_number": "718-494-7546",
            "fax_number": "718-982-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMAN",
        "first_name": "CARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "157529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01013767",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.