Individual provider Active NPI

Antoinette Golden, M.D.

  • Emergency Medicine Physician
  • Providence, RI
National Provider Identifier
1922374792
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME.127153 Issued in FL
Practice address
164 Summit Ave
Providence, RI 02906-2853
Phone
(401) 793-3100
Fax
(401) 793-3105
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME.127153 FL Primary
Emergency Medicine Physician 207P00000X MD14996 RI
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

164 Summit Ave
Providence, RI 02906-2853

Mailing address

125 Whipple St
3Rd Floor
Providence, RI 02908-3258
Phone (401) 854-2504

Other identifiers 3

IdentifierTypeStateIssuer
1922374792MedicaidRI
U400217887OtherRIMEDICARE NGS
110102843AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160926000237 FL Practitioner - Emergency Medicine 4587985031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rush Medical College of Rush University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Emergency Services of Miami Beach PAGroup PAC ID 3476553215, 47 clinicians

Practice addresses (Care Compare)

2845 Aventura Blvd
Aventura, FL 33180-3118
Phone (305) 692-1000

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME.127153FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Emergency Services of Miami Beach PA Emergency Medicine CurrentSince Jun 15, 2021 Accepting new patients
Sterling Emergency Services of Miami Beach PA Emergency Medicine Current Accepting new patients
Emergency Physician Solutions of South Florida, LLC Emergency Medicine PastSince Mar 1, 2020 Accepting new patients

Locations

2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1922374792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WHIPPLE ST",
            "address_2": "3RD FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083258",
            "telephone_number": "401-854-2504",
            "fax_number": "401-427-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062853",
            "telephone_number": "401-793-3100",
            "fax_number": "401-793-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME.127153",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD14996",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922374792",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NGS",
            "identifier": "U400217887",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110102843A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.