Jennifer Hope Goldwasser, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

184329 Issued in NY

Practice address

210 N Central Ave Ste 320
Hartsdale, NY 10530-1951

Phone

(914) 422-3376

Fax

(914) 409-9034

NPI assigned

Nov 16, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

State University of New York Downstate Medical Center, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Jennifer Goldwasser MD PLLCGroup PAC ID 4183965387, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• Jennifer Goldwasser MD PLLC

  • Dermatology Physician
  • Hartsdale, NY
  • NPI 1972063980
  Medicare reassignment Care Compare group NPD Authorized official
• Zoe Veritas MD PLLC

  • Dermatology Physician
  • Hartsdale, NY
  • NPI 1538820543
  NPD

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1902888001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N CENTRAL AVE STE 320",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301951",
            "telephone_number": "914-422-3376",
            "fax_number": "914-409-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N CENTRAL AVE STE 320",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301951",
            "telephone_number": "914-422-3376",
            "fax_number": "914-409-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWASSER",
        "first_name": "JENNIFER",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "184329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01477581",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Glover
• Maria Pilar Gochoco, DMD
• Susan R Goldberg, MA, OTR, CHT
• Michelle Goldsammler, MD
• Karlie S Goldstein, LCSW
• Sandra E Gomez-Luna, M.D.,
• Danielle Gonzalez-Cruz
• Gissell Gonzalez
• Gwen Rachel Gordon Rothschild, PSYD
• Gitel Gordon, PSYCHOLOGY FELLOW

• Dermatology Physician in Hartsdale, NY
• Providers in Hartsdale, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.