GOLDMAN DERMATOLOGY, PLLC
NPI 1154311900
Specialist in New York, NY
About Goldman Dermatology, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLDMAN DERMATOLOGY, PLLC (NPI 1154311900) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since October 2005. The organization holds a CLIA Certificate of Compliance certificate valid through January 19, 2028 and lists Barry D Goldman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Goldman Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Goldman Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 33D1048988
Goldman Dermatology, PLLC · New York, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Goldman Dermatology, PLLC's NPI number?
The NPI number for Goldman Dermatology, PLLC is 1154311900. It was assigned to this organization in the NPPES registry on October 24, 2005.
Where is Goldman Dermatology, PLLC located?
Goldman Dermatology, PLLC is located at 150 Broadway Suite 1110, New York, NY 10038. The listed phone number is (212) 962-1115.
What is Goldman Dermatology, PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Goldman Dermatology, PLLC enrolled in Medicare?
Yes. Goldman Dermatology, PLLC is registered in the Medicare PECOS enrollment system.
When is Goldman Dermatology, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Goldman Dermatology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Goldman Dermatology, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (4) and Micrographic Dermatologic Surgery (MDS) (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Goldman Dermatology, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D1048988) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Goldman Dermatology, PLLC was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Goldman Dermatology, Pllc · NPI 1154311900
Specialist organization in New York, New York. Organization record, active in the CMS NPPES registry since October 24, 2005.
## Identity
- **NPI:** 1154311900 (Entity type: Organization)
- **Enumerated:** October 24, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Barry Goldman, OWNER
## Practice location
- **Address:** 150 BROADWAY, SUITE 1110, New York, NY 10038-4381
- **Phone:** (212) 962-1115 · **Fax:** (212) 962-1246
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), Micrographic Dermatologic Surgery (MDS) (2); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2008
- **Other identifiers:** Medicare PIN WCW741 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154311900) · Data from the CMS NPPES public registry.