Individual provider Active NPI

Andrew M Goldenberg, MD

  • Gastroenterology Physician
  • Pomona, NY
National Provider Identifier
1932272697
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
166920 Issued in NY
Practice address
974 Route 45
Suite 2000
Pomona, NY 10970-3520
Phone
(845) 354-3700
Fax
(845) 354-5573
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 166920 NY Primary

Addresses

Primary practice location

974 Route 45
Suite 2000
Pomona, NY 10970-3520

Mailing address

974 Route 45
Suite 2000
Pomona, NY 10970-3520
Phone (845) 354-3700

Other identifiers 1

IdentifierTypeStateIssuer
01075621MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000230 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 4385837533 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Boston University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Highland Medical P.C.Group PAC ID 2668370420, 19 clinicians
Montefiore Nyack HospitalGroup PAC ID 2668485046, 21 clinicians
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians

Practice addresses (Care Compare)

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2198

187 Veterans Blvd
Massapequa, NY 11758-4982
Phone (516) 795-5523

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5000

974 Route 45
Suite 2000
Pomona, NY 10970-3517
Phone (845) 354-3700

Hospital & facility affiliations

  • Nyack Hospital Hospital, Nyack, NY, CCN 330104
  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

Merit-based Incentive Payment System (MIPS)

Final score
27.19 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
64.35

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy266
Upper gastrointestinal (GI) endoscopy for acid reflux187

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Nyack Hospital CurrentSince Aug 1, 2025 Accepting new patients
Montefiore Nyack Hospital CurrentSince Aug 1, 2025 Accepting new patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Jan 12, 2024 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. Gastroenterology CurrentSince Nov 10, 2025 Accepting new patients
Highland Medical P.C. CurrentSince Feb 1, 2026 Accepting new patients

Locations

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: andrew.goldenberg@ddar.eclinicaldirectplus.com
  • Direct secure messaging: andrew.goldenberg.1@24721.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932272697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 ROUTE 45",
            "address_2": "SUITE 2000",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703520",
            "telephone_number": "845-354-3700",
            "fax_number": "845-354-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 ROUTE 45",
            "address_2": "SUITE 2000",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703520",
            "telephone_number": "845-354-3700",
            "fax_number": "845-354-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "166920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01075621",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.