MRS. SALLY GOLDSTEIN FNP
NPI 1174550735
Nurse Practitioner - Family in Buffalo, NY

Q: 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.

Q: What is Sally Goldstein's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sally Goldstein was last updated on October 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 27, 2006PECOS Enrolled

701 SENECA ST STE 646C, BUFFALO, NY 14210(716) 995-4450 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1174550735

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SALLY GOLDSTEINCredential: FNP

Location Address701 SENECA ST STE 646CBuffalo, NY 14210-1351

Mailing Address251 Salina Meadows Pkwy, Suite 100Syracuse, NY 13212-4584 · (315) 464-2096

Phone(716) 995-4450

Sole ProprietorNo

Enumeration DateJune 27, 2006

Last NPPES UpdateOctober 24, 2019

✔ NPI 1174550735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F3333721-1

701 SENECA ST STE 646C, Buffalo, NY 14210

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Secondary Practice Location 1

Location 1819 S Salina StSyracuse, NY 13202-3536 · Phone (315) 464-7679

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sally Goldstein Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

BETH LYN VACCARELLI ANP

Nurse Practitioner (Adult Health)