NPIMap

Individual provider Active NPI

Lawrence Wayne Goldstein, MD

  • Family Medicine Physician
  • Tarrytown, NY
National Provider Identifier
1851478648
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
188101 Issued in NY
Practice address
200 S Broadway
106
Tarrytown, NY 10591-4500
Phone
(914) 366-0633
Fax
(914) 366-0641
NPI assigned
Nov 1, 2006
Last updated
Nov 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 188101 NY Primary

Addresses

Primary practice location

200 S Broadway
106
Tarrytown, NY 10591-4500

Mailing address

200 S Broadway
Suite 106
Tarrytown, NY 10591-4500
Phone (914) 366-0633

Other identifiers 1

IdentifierTypeStateIssuer
01415690MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070312000466 NY Practitioner - Family PracticePractitioner - Internal Medicine 4688776701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1296 N Ave
New Rochelle, NY 10804-2603
Phone (914) 235-8224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
White Plains Physician Services PC Family Medicine CurrentSince Jan 28, 2025 Accepting new patients
Westchester Health Medical, P.C. Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Mar 1, 2017 Accepting new patients
North Shore - Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients
Westchester Health Associates PLLC Past Accepting new patients
Westchester Health Associates Past Accepting new patients
Cedar Manor Acquisition I LLC Past Accepting new patients

Locations

60 Goldens Bridge Rd
Katonah, NY 10536
Phone (914) 232-1919

620 E Boston Post Rd
Mamaroneck, NY 10543
Phone (914) 777-5437

300 Community Dr
Manhasset, NY 11030

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

1296 North Ave
New Rochelle, NY 10804
Phone (914) 235-7435

180 Marble Ave
Pleasantville, NY 10570
Phone (901) 769-7300

200 S Broadway
Tarrytown, NY 10591
Phone (914) 631-1166

200 S Broadway
Ste 106
Tarrytown, NY 10591
Phone (914) 366-0633

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1851478648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "address_2": "SUITE 106",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914500",
            "telephone_number": "914-366-0633",
            "fax_number": "914-232-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "address_2": "106",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914500",
            "telephone_number": "914-366-0633",
            "fax_number": "914-366-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "LAWRENCE",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "188101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01415690",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.