DR. GARY GOLDENBERG MD
NPI 1336295955
Dermatology in New York, NY
About Dr. Gary Goldenberg Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GARY GOLDENBERG MD (NPI 1336295955) is an individual dermatology provider in New York, New York, licensed in New York (250770) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 7
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Gary Goldenberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gary Goldenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Staten Island, NY 10314
- Reassigned Medicare billing, New York enrollment
- 6 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 10029 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gary Goldenberg's NPI number?
The NPI number for Gary Goldenberg is 1336295955. It was assigned to this individual provider in the NPPES registry on January 26, 2007.
Where is Gary Goldenberg located?
Gary Goldenberg practices at 5 E 98th St Fl 5, New York, NY 10029. The listed phone number is (212) 241-9065.
What is Gary Goldenberg's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Gary Goldenberg enrolled in Medicare?
Yes. Gary Goldenberg is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gary Goldenberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Goldenberg reassigns Medicare benefits to Josiane Lederman, MD PC (Staten Island, 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 Gary Goldenberg'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 Gary Goldenberg was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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. Gary Goldenberg, MD · NPI 1336295955
Dermatology physician in New York, New York. Individual provider, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1336295955 (Entity type: Individual)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 250770 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5 E 98TH ST FL 5, New York, NY 10029-6501
- **Phone:** (212) 241-9065 · **Fax:** (212) 987-1197
## 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:** Josiane Lederman, MD PC (NPI 1366597395, Staten Island, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** October 30, 2015
- **Other identifiers:** Other 0034; Medicare PIN P00430454; Other 89673801 (MD); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1336295955) · Data from the CMS NPPES public registry.