Individual provider Active NPI

Stefanie Alexandra Goldstein, RN, FNP-C

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1902504863
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029978 Issued in FL
Practice address
1092 Yarmouth E
Boca Raton, FL 33434-4550
Phone
(845) 341-7665
NPI assigned
Feb 20, 2023
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 353237 NY
Family Nurse Practitioner 363LF0000X 11029978 FL Primary
Registered Nurse 163W00000X 919425 NY
Registered Nurse 163W00000X 9597087 FL

Addresses

Primary practice location

1092 Yarmouth E
Boca Raton, FL 33434-4550

Mailing address

1092 Yarmouth E
Boca Raton, FL 33434-4550
Phone (845) 341-7665

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
I20240312000232 NY Practitioner - Nurse Practitioner 1254777329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refuah Health Center IncGroup PAC ID 4880584416, 88 clinicians

Practice addresses (Care Compare)

728 N Main St
New Square, NY 10977-8916
Phone (845) 354-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9597087FLMDRegistered Nurse
919425NYMDRegistered Nurse
11029978FLMDFamily Nurse Practitioner
353237NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Refuah Health Center, Inc. CurrentSince Feb 29, 2024 Accepting new patients
Refuah Health Center Inc Current Accepting new patients
Refuah Health Center, Inc. CurrentSince Feb 29, 2024 Accepting new patients
Refuah Health Center, Inc. Past Accepting new patients

Locations

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

5 Twin Ave
Spring Valley, NY 10977
Phone 84535493001249

Networks

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

Organizations & group practices 4

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1902504863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 YARMOUTH E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344550",
            "telephone_number": "845-341-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 YARMOUTH E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344550",
            "telephone_number": "845-341-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "STEFANIE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353237",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029978",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "919425",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9597087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.