Active NPI
Rebecca Goldberg
- Nurse Practitioner
- Ardsley, NY
National Provider Identifier
1912562307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 309086
- Practice address
- 20 Old Mill LN
Ardsley, NY 10502-1510 - Phone
- (914) 815-0372
- NPI assigned
- May 1, 2019
- Last updated
- May 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 309086 | NY | Primary |
Addresses
Primary practice location
20 Old Mill LN
Ardsley, NY 10502-1510
Mailing address
20 Old Mill LN
Ardsley, NY 10502-1510
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 74.7
- Improvement activities
- 40
- Cost
- 69.14
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 80.33
- Improvement activities
- 40
- Cost
- 62.28
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.55 of 100
- Quality
- 82.52
- Improvement activities
- 40
- Cost
- 72.02
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.57 of 100
- Quality
- 70.48
- Improvement activities
- 40
- Cost
- 69.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Consultation Group | Current | Accepting new patients | |
| MSK Harrison | Current | Accepting new patients | |
| Memorial Hematology Lymphoma Group | Current | Accepting new patients | |
| Mskcc Clinical Practice Plan | Current | Accepting new patients | |
| Mskcc Clinical Practice Plan | Current | Accepting new patients | |
| Mskcc Radiology Group | Current | Accepting new patients | |
| Memorial Hematology Lymphoma Group | Current | Accepting new patients |
Locations
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764
500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rgoldberg38844@mskcc.direct-ci.com
Organizations & group practices 7
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.
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1891766366
-
- Internal Medicine Physician
- New York, NY
- NPI 1053382523
-
- Medical Oncology Physician
- West Harrison, NY
- NPI 1174923593
-
- Medical Oncology Physician
- New York, NY
- NPI 1588789341
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1639159692
-
dba Cellular Therapy Service
- Medical Oncology Physician
- New York, NY
- NPI 1245945021
-
dba Sexual Medicine Program
- Urology Physician
- New York, NY
- NPI 1306096508
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1700887411
-
- Special Hospital
- New York, NY
- NPI 1770046351
-
- General Acute Care Hospital
- Basking Ridge, NJ
- NPI 1659385474
-
- General Acute Care Hospital
- Montvale, NJ
- NPI 1841650330
-
- General Acute Care Hospital
- Middletown, NJ
- NPI 1528428521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1912562307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OLD MILL LN",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OLD MILL LN",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021510",
"telephone_number": "914-815-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-01",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "309086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardsley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.