Active NPI
Stan Golin, MD
- Radiation Oncology Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 226111
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02580647 | Medicaid | NY |
Other names 1
- Stanislav Golin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07817100 | NJ | MD | Radiation Oncology Physician |
| 226111 | NY | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Medical Professionals PLLC | Current | Accepting new patients | |
| Integrated Medical Professionals PLLC | Radiation Oncology | Current | Accepting new patients |
| New Jersey Urology LLC | Radiation Oncology | Current | 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
- sgolin@imppllc.direct.varian.com
- 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.
-
- Urology Physician
- Lake Success, NY
- NPI 1346203536
Radiation Oncology
-
dba Advanced Urology Centers of Ny - Manhattan
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1295534626
-
dba 21st Century Oncology
- Radiation Oncology Physician
- Yonkers, NY
- NPI 1750361374
-
- Urology Physician
- Belleville, NJ
- NPI 1609982099
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.