Individual provider Active NPI

Alyson Michele Goldenberg, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1902373186
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343363 Issued in NY
Practice address
545 W End Ave Apt 7C
New York, NY 10024-2724
Phone
(310) 963-0326
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F343363 NY Primary

Addresses

Primary practice location

545 W End Ave Apt 7C
New York, NY 10024-2724

Mailing address

545 W End Ave Apt 7C
New York, NY 10024-2724
Phone (310) 963-0326

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218000852 NY Practitioner - Nurse Practitioner 1557795986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

425 E 61St St
Suite 8
New York, NY 10065-8722
Phone (212) 746-0923

525 E 68TH St
Cornell University Medical Center
New York, NY 10021-4870
Phone (212) 746-2850

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F343363NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Nov 2, 2019 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 2, 2019 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

525 E 68th St
#M
New York, NY 10065
Phone (212) 746-2850

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

425 E 61st St
Fl 10
New York, NY 10065
Phone (212) 652-1900

Networks

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

Interoperability endpoints

  • Direct secure messaging: alg9186@direct.nyp.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1902373186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W END AVE APT 7C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100242724",
            "telephone_number": "310-963-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W END AVE APT 7C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100242724",
            "telephone_number": "310-963-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "ALYSON",
        "middle_name": "MICHELE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.