Individual provider Active NPI

Stan Golin, MD

  • Radiation Oncology Physician
  • New Hyde Park, NY
National Provider Identifier
1942281035
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
226111 Issued in NY
Practice address
3111 New Hyde Park Rd
New Hyde Park, NY 11042-1209
Phone
(516) 394-9600
Fax
(516) 869-3015
NPI assigned
Nov 7, 2005
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 25MA07817100 NJ
Radiation Oncology Physician 2085R0001X 226111 NY Primary

Addresses

Primary practice location

3111 New Hyde Park Rd
New Hyde Park, NY 11042-1209

Mailing address

1 Hollow LN Ste 206
Lake Success, NY 11042-1215
Phone (516) 931-0041

Other identifiers 1

IdentifierTypeStateIssuer
02580647MedicaidNY

Other names 1

  • Stanislav Golin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041014001239 NY Practitioner - Radiation Oncology 2264492180 Reassigns benefits to 1 organization
I20140626000729 NJ Practitioner - Radiation Oncology 2264492180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3111 New Hyde Park Rd
New Hyde Park, NY 11042-1209
Phone (516) 394-9600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07817100NJMDRadiation Oncology Physician
226111NYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC CurrentSince Sep 11, 2023 Accepting new patients
Integrated Medical Professionals PLLC Radiation Oncology CurrentSince Sep 11, 2023 Accepting new patients
New Jersey Urology LLC Radiation Oncology CurrentSince Sep 14, 2019 Accepting new patients
Urology Consultants PA Past Accepting new patients
Yonkers Radiation Medical Practice, PC Radiation Oncology Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1515 Broad St
Ste B130
Bloomfield, NJ 07003
Phone (973) 873-7000

570 South Ave E
Bldg A
Cranford, NJ 07016
Phone (908) 272-7990

10 Parsonage Rd
Ste 118
Edison, NJ 08837
Phone (732) 494-9400

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

2510 Westchester Ave
Ste B
Bronx, NY 10461
Phone (718) 517-3000

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

5 Cuba Hill Rd
Ste 400
Greenlawn, NY 11740
Phone (631) 544-3400

101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428

1324 Motor Pkwy
Islandia, NY 11749
Phone (631) 963-7700

1 Hollow Ln
Ste 206
New Hyde Park, NY 11042
Phone (516) 931-0041

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-2300

688 Old Country Rd
Plainview, NY 11803
Phone (516) 932-6007

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

2 Medical Park Dr
Ste 9
West Nyack, NY 10994
Phone (845) 517-1720

Networks

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

Interoperability endpoints

  • Direct secure messaging: sgolin@imppllc.direct.varian.com
  • Direct secure messaging: sgolin10354@njurology.direct-ci.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, 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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1942281035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN STE 206",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-931-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 NEW HYDE PARK RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421209",
            "telephone_number": "516-394-9600",
            "fax_number": "516-869-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLIN",
        "first_name": "STAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA07817100",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "226111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02580647",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STANISLAV",
            "last_name": "GOLIN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.