Individual provider Active NPI

Jennifer Sara Goldstein, RN, FNP

  • Family Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1982145942
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348645 Issued in NY
Practice address
14 Wildwood Dr
Poughkeepsie, NY 12603-5828
Phone
(845) 662-1573
NPI assigned
Mar 10, 2017
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348645 NY Primary
Registered Nurse 163W00000X 715087 NY

Addresses

Primary practice location

14 Wildwood Dr
Poughkeepsie, NY 12603-5828

Mailing address

14 Wildwood Dr
Poughkeepsie, NY 12603-5828
Phone (845) 662-1573

Other practice location 1

40 Main St
Monsey, NY 10952-3009
Phone (845) 385-9500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006001466 NY Practitioner - Nurse Practitioner 2961888425 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statline Medical PCGroup PAC ID 7214333525, 10 clinicians

Practice addresses (Care Compare)

120 Highland Ave
Middletown, NY 10940-4713
Phone (914) 215-4748

25 Carrier St
Liberty, NY 12754-1903
Phone 84528172004053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
715087NYMDRegistered Nurse
348645NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Family Medical Center, Inc. CurrentSince Aug 26, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Oct 24, 2022 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Jan 1, 2026 Accepting new patients
Open Door Family Medical Center Inc Current Accepting new patients
Open Door Family Medical Center Inc CurrentSince Aug 26, 2024 Accepting new patients
Statline Medical PC CurrentSince Oct 6, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Oct 24, 2022 Accepting new patients
J&D Ultracare Corp PastSince Dec 13, 2020 Accepting new patients

Locations

155 Main St
Brewster, NY 10509
Phone (845) 279-6999

155 Main St
Ste 101
Brewster, NY 10509
Phone (273) 791-4632

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332

120 Highland Ave
Middletown, NY 10940
Phone (845) 333-7575

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

30 W Main St
Mount Kisco, NY 10549
Phone (914) 666-3272

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

165 Main St
Ossining, NY 10562
Phone (914) 941-1263

2507 South Rd
Poughkeepsie, NY 12601
Phone (845) 471-2287

451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800

200 White Plains Rd
Ste 110
Tarrytown, NY 10591
Phone (914) 848-4343

Philadelphia, PA 19195

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAJCAA

Organizations & group practices 8

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": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1982145942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WILDWOOD DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035828",
            "telephone_number": "845-662-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WILDWOOD DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035828",
            "telephone_number": "845-662-1573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Main St",
            "address_purpose": "LOCATION",
            "city": "Monsey",
            "state": "NY",
            "postal_code": "109523009",
            "country_code": "US",
            "telephone_number": "845-385-9500",
            "fax_number": "845-501-9505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "JENNIFER",
        "middle_name": "SARA",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348645",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "715087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.