MRS. PHYLLIS G SIMON-GOLDMAN MD
NPI 1245431477
Pediatrics - Adolescent Medicine in Holbrook, NY

Q: What is Phyllis Simon-goldman's NPI number?

The NPI number for Phyllis Simon-goldman is 1245431477. It was assigned to this individual provider in the NPPES registry on May 28, 2007.

Q: What is Phyllis Simon-goldman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since May 28, 2007PECOS EnrolledAccepts Medicare Assignment

270 UNION AVE, HOLBROOK, NY 11741(631) 331-6200(631) 331-6282 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Phyllis G Simon-goldman Md NPPES

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

MRS. PHYLLIS G SIMON-GOLDMAN MD (NPI 1245431477) is an individual adolescent medicine provider in Holbrook, New York, licensed in New York (240746-1) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1245431477

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameMRS. PHYLLIS G SIMON-GOLDMANCredential: MD

Location Address270 UNION AVEHolbrook, NY 11741

Mailing Address270 Union Ave, Freed, Kleinberg, Nussbaum & Fest, Kronberg, M.d., LlpHolbrook, NY 11741 · (631) 588-4442 · Fax (631) 471-3039

Phone(631) 331-6200

Fax(631) 331-6282

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateMay 28, 2007

Last NPPES UpdateApril 12, 2012

✔ NPI 1245431477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in NY · 240746-1

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

270 UNION AVE, Holbrook, NY 11741

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Other Identifiers 1

Medicaid03080866NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Phyllis G Simon-goldman Md 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 ID5799038592

PECOS Enrollment IDI20181024002488

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.

Medicare Billing Reassignment

Medicare enrollment records show Phyllis Simon-goldman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Medical Care, P.C.

43 mi

Cardiovascular Disease

90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Optum Medical Care PC
1,601 clinicians in this Medicare group

NPI 1982643003 (914) 241-1050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LACI NICOLE COOK CPNP

Nurse Practitioner (Pediatrics)