Individual provider Active NPI

Jamee Michele Goldstein, D.O.

  • Pediatrics Physician
  • Monroe, NY
National Provider Identifier
1952453581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
229920 Issued in NY
Practice address
70 Gilbert St
Suite 103
Monroe, NY 10950-1538
Phone
(845) 782-8616
Fax
(845) 774-8870
NPI assigned
Jan 16, 2007
Sex
Female
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
Pediatrics Physician 208000000X 229920 NY Primary

Addresses

Primary practice location

70 Gilbert St
Suite 103
Monroe, NY 10950-1538

Mailing address

70 Gilbert St
Suite 103
Monroe, NY 10950-1538
Phone (845) 782-8616

Other identifiers 1

IdentifierTypeStateIssuer
02555920MedicaidNY

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
I20190724003024 NY Practitioner - Pediatric Medicine 0042433955 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229920NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Physicians Group, PLLC Pediatrics CurrentSince Jul 12, 2019 Accepting new patients
Monroe Pediatric Associates, P.C. Pediatrics Past Accepting new patients

Locations

70 Gilbert St
Ste 103
Monroe, NY 10950
Phone (845) 782-8616

34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000

Networks

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

Interoperability endpoints

  • Direct secure messaging: jamee.goldstein.1@29151.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952453581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GILBERT ST",
            "address_2": "SUITE 103",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501538",
            "telephone_number": "845-782-8616",
            "fax_number": "845-774-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GILBERT ST",
            "address_2": "SUITE 103",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501538",
            "telephone_number": "845-782-8616",
            "fax_number": "845-774-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "JAMEE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "229920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02555920",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

Verify at the official NPI Registry.