MR. GREGORY SAMUEL GOLDSTEIN M.D
NPI 1225485295
Pediatrics - Pediatric Critical Care Medicine in Syracuse, NY

Q: What is Gregory Goldstein's NPI number?

The NPI number for Gregory Goldstein is 1225485295. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Q: What is Gregory Goldstein's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Goldstein was last updated on November 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 19, 2016PECOS EnrolledAccepts Medicare Assignment

750 EAST ADAMS ST, SYRACUSE, NY 13210(315) 464-5450(315) 464-6322 Get Directions Write a Review

NPPES record last updated: November 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2022, Aug 17, 2022, May 19, 2016 (3 updates tracked since 2016).

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About Mr. Gregory Samuel Goldstein M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GREGORY SAMUEL GOLDSTEIN M.D (NPI 1225485295) is an individual pediatric critical care medicine provider in Syracuse, New York, licensed in New York (319914) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2016).

NPPES Registry Identity

NPI1225485295

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameMR. GREGORY SAMUEL GOLDSTEINCredential: M.D

Location Address750 EAST ADAMS STSyracuse, NY 13210-2306

Mailing Address750 East Adams StSyracuse, NY 13210-2306 · (315) 464-5450 · Fax (315) 464-6322

Phone(315) 464-5450

Fax(315) 464-6322

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2016

Enumeration DateMay 19, 2016

Last NPPES UpdateNovember 25, 20223 updates tracked since enumeration

NPPES CertifiedNovember 25, 2022

✔ NPI 1225485295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NY · 319914

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

750 EAST ADAMS ST, Syracuse, NY 13210

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gregory Samuel Goldstein M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193052835

PECOS Enrollment IDI20221212001315

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.

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.

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