DR. MICHELINE GOULART M.D.
NPI 1568840940
Surgery - Plastic and Reconstructive Surgery in Roslyn, NY

Q: What is Micheline Goulart's NPI number?

The NPI number for Micheline Goulart is 1568840940. It was assigned to this individual provider in the NPPES registry on May 18, 2015. The provider is also known as Micheline Moore.

Q: What is Micheline Goulart's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Micheline Goulart was last updated on June 13, 2023. 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 18, 2015PECOS Enrolled

1045 NORTHERN BLVD FL 2, ROSLYN, NY 11576(516) 279-2616(516) 279-2632 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2023, May 30, 2023, Sep 6, 2022 and 1 more (4 updates tracked since 2022).

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About Dr. Micheline Goulart M.d. NPPES

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

DR. MICHELINE GOULART M.D. (NPI 1568840940) is an individual plastic and reconstructive surgery provider in Roslyn, New York, licensed in New York (315500) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Manhasset.

NPPES Registry Identity

NPI1568840940

Entity TypeIndividualFemale

Primary Taxonomy2086S0122X

Provider Legal NameDR. MICHELINE GOULARTCredential: M.D.

Location Address1045 NORTHERN BLVD FL 2Roslyn, NY 11576-1502

Mailing Address800 Northern Blvd Ste 6Great Neck, NY 11021-5314

Phone(516) 279-2616

Fax(516) 279-2632

Sole ProprietorNo

Enumeration DateMay 18, 2015

Last NPPES UpdateJune 13, 20234 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1568840940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in NY · 315500

Definition

A surgeon who specializes in plastic and reconstructive surgery.

1045 NORTHERN BLVD FL 2, Roslyn, NY 11576

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Other Names 1

Former Name (1)Micheline Moore

Secondary Practice Location 1

Location 11615 Northern Blvd Ste Gr1Manhasset, NY 11030-3008 · Phone (516) 279-2616 · Fax (516) 279-2632

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Micheline Goulart M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Micheline Goulart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Island Cosmetic And Reconstructive Surgery PLLC

3.6 mi

Plastic Surgery

190 E JERICHO TPKE
Mineola, NY 11501

Reassigned Medicare billing, New York enrollment

NPI 1013038702 (516) 977-9922

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Repair of wound by transferring skin, each additional 30.0 sq cm 14302

This procedure involves the transfer of skin from a healthy area to a wounded area, helping in its healing. Each session covers 30.0 sq cm. It's a common method for treating large wounds, burns, or areas with significant tissue damage.

66 services19 patients

Creation of muscle graft to trunk 15734

The creation of a muscle graft to the trunk is a surgical procedure where healthy muscle tissue is moved from one part of the body to another. This helps to repair damaged areas, improve function, and enhance appearance. It's a common procedure in reconstructive surgery.

44 services18 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

21 services20 patients

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002

This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.

21 services20 patients

Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less 15003

This procedure involves preparing a specific area of your body (trunk, arms, or legs) for a skin graft. The area is cleaned and treated to receive new skin, usually to aid in healing from a burn or wound. The size of the area treated is up to 100.0 sq cm or 1% of a child's body area.

18 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 patients

Other Providers at the Same Location NPPES 5

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

DR. JESSICA NEWBURGER D.O

Dermatology