Active NPI
Amit Goswami, MD
- Pain Medicine (Anesthesiology) Physician
- Paramus, NJ
National Provider Identifier
1972605137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 25MA08519500
- Practice address
- 2 Sears Dr Ste 103
Paramus, NJ 07652-3539 - Phone
- (646) 620-6415
- Fax
- (949) 863-6532
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MA08519500 | NJ | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 256512 | NY |
Addresses
Primary practice location
2 Sears Dr Ste 103
Paramus, NJ 07652-3539
Mailing address
PO Box 1779
Fort Lee, NJ 07024-8279
Phone (646) 620-6415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2021 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256512 | NY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berwick Clinic Company LLC | Pain Medicine | Past | Accepting new patients |
| Gulfstream Anesthesia Consultants PA | Past | Accepting new patients | |
| Lock Haven Clinic Company, LLC | Past | Accepting new patients | |
| Goswami Pain Anesthesia, P.C. | Pain Medicine | Past | Accepting new patients |
| Epic Pain Management & Anesthesia Consultants LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1704/brand/1/csg/81/fhir/r4
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.
-
- Pain Clinic/Center
- Wayne, NJ
- NPI 1649591892
-
- Pain Medicine (Anesthesiology) Physician
- Bronx, NY
- NPI 1841589405
-
- Anesthesiology Physician
- Troy, PA
- NPI 1992713242
-
- Orthopaedic Surgery Physician
- Lock Haven, PA
- NPI 1356430847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1972605137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1779",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070248279",
"telephone_number": "646-620-6415",
"fax_number": "949-863-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SEARS DR STE 103",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523539",
"telephone_number": "646-620-6415",
"fax_number": "949-863-6532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSWAMI",
"first_name": "AMIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MA08519500",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "256512",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.