MRS. SALLY GOLDSTEIN FNP
NPI 1174550735
Nurse Practitioner - Family in Buffalo, NY
About Mrs. Sally Goldstein Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SALLY GOLDSTEIN FNP (NPI 1174550735) is an individual family provider in Buffalo, New York, licensed in New York (F3333721-1) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Syracuse.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Sally Goldstein Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sally Goldstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Depew, NY 14043
- Reassigned Medicare billing, New York enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BUFFALO, NY 14210
Frequently 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 Sally Goldstein's NPI number?
The NPI number for Sally Goldstein is 1174550735. It was assigned to this individual provider in the NPPES registry on June 27, 2006.
Where is Sally Goldstein located?
Sally Goldstein practices at 701 Seneca St Ste 646C, Buffalo, NY 14210. The listed phone number is (716) 995-4450.
What is Sally Goldstein's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sally Goldstein enrolled in Medicare?
Yes. Sally Goldstein is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sally Goldstein's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sally Goldstein reassigns Medicare benefits to Family Choice Of New York Medical PC (Depew, NY). The 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 Sally Goldstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sally Goldstein was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Sally Goldstein, FNP · NPI 1174550735
Family physician in Buffalo, New York. Individual provider, active in the CMS NPPES registry since June 27, 2006.
## Identity
- **NPI:** 1174550735 (Entity type: Individual)
- **Enumerated:** June 27, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F3333721-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 SENECA ST STE 646C, Buffalo, NY 14210-1351
- **Phone:** (716) 995-4450
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Family Choice Of New York Medical PC (NPI 1720312754, Depew, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1174550735) · Data from the CMS NPPES public registry.