DR. JONATHAN JACOB GOLDENTHAL M.D.
NPI 1306172689
Pediatrics in Staten Island, NY
About Dr. Jonathan Jacob Goldenthal M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONATHAN JACOB GOLDENTHAL M.D. (NPI 1306172689) is an individual pediatrics provider in Staten Island, New York, licensed in New York (247621) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jonathan Jacob Goldenthal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jonathan Goldenthal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Staten Island, NY 10312
- Reassigned Medicare billing, New York enrollment
- 530 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
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 Jonathan Goldenthal's NPI number?
The NPI number for Jonathan Goldenthal is 1306172689. It was assigned to this individual provider in the NPPES registry on October 21, 2009.
Where is Jonathan Goldenthal located?
Jonathan Goldenthal practices at 242 Mason Ave, Staten Island, NY 10305. The listed phone number is (718) 226-6522.
What is Jonathan Goldenthal's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jonathan Goldenthal enrolled in Medicare?
Yes. Jonathan Goldenthal is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jonathan Goldenthal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Goldenthal reassigns Medicare benefits to 3 organizations: Physicians Of University Hospital PC (Staten Island, NY), Sun River Health Inc (Bronx, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each 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 Jonathan Goldenthal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Goldenthal accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Jonathan Goldenthal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jonathan Goldenthal was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Jonathan Jacob Goldenthal, M.D. · NPI 1306172689
Pediatrics physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since October 21, 2009.
## Identity
- **NPI:** 1306172689 (Entity type: Individual)
- **Enumerated:** October 21, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 247621 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 242 MASON AVE, Staten Island, NY 10305-3408
- **Phone:** (718) 226-6522 · **Fax:** (718) 226-6531
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Physicians Of University Hospital PC (NPI 1013368224, Staten Island, NY); Sun River Health Inc (NPI 1740763275, Bronx, NY); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2012
- **Other identifiers:** Medicare PIN A400062931 (NY); Medicaid 03420197 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1306172689) · Data from the CMS NPPES public registry.