Active NPI
Leslie S Goldstein, M.D.
- Specialist
- Troy, NY
National Provider Identifier
1871580845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 157862
- Practice address
- 258 Hoosick St
Suite 101
Troy, NY 12180-2427 - Phone
- (518) 274-5660
- Fax
- (518) 274-5666
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 157862 | NY | Primary |
Addresses
Primary practice location
258 Hoosick St
Suite 101
Troy, NY 12180-2427
Mailing address
258 Hoosick St
Suite 101
Troy, NY 12180-2427
Phone (518) 274-5660
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000405271001 | Other | NY | BLUE SHIELD OF NENY |
| 00844633 | Medicaid | NY | |
| 0076113 | Other | NY | GHI |
| 10000785 | Other | NY | CDPHP |
| 27123 | Other | NY | MVP |
| 51E511 | Other | NY | EMPIRE BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1871580845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 HOOSICK ST",
"address_2": "SUITE 101",
"city": "TROY",
"state": "NY",
"postal_code": "121802427",
"telephone_number": "518-274-5660",
"fax_number": "518-274-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 HOOSICK ST",
"address_2": "SUITE 101",
"city": "TROY",
"state": "NY",
"postal_code": "121802427",
"telephone_number": "518-274-5660",
"fax_number": "518-274-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "LESLIE",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "157862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF NENY",
"identifier": "000405271001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00844633",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0076113",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10000785",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "27123",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "51E511",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.