JONATHAN M GOLDSTEIN M.D.
NPI 1821071192
Psychiatry & Neurology - Neurology in New York, NY

NPI Status: Active since November 21, 2005

Contact Information

535 E 70TH ST
DEPARTMENT OF NEUROLOGY
NEW YORK, NY
ZIP 10021
Phone: (212) 606-1046
Fax: (212) 249-9185

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Neurology
  • PECOS Enrolled
  • Medicare Quality Reporting

About JONATHAN GOLDSTEIN

This page provides the complete NPI Profile along with additional information for Jonathan Goldstein, a provider established in New York, New York with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1821071192 assigned on November 2005. The practitioner's primary taxonomy code is 2084N0400X with license number 270535 (NY). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1821071192
Provider Name
JONATHAN M GOLDSTEIN M.D.
Gender
Male
Entity Type
Individual
Location Address
535 E 70TH ST DEPARTMENT OF NEUROLOGY NEW YORK, NY 10021
Location Phone
(212) 606-1046
Location Fax
(212) 249-9185
Mailing Address
PO BOX 29234 NEW YORK, NY 10087
Mailing Phone
(631) 329-6925
Mailing Fax
(212) 249-9185
Is Sole Proprietor?
No
Enumeration Date
11-21-2005
Last Update Date
12-02-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
270535
License State
NY
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084N0008XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neuromuscular Medicine

270535 (NY)
22084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

030692 (CT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E43064MEDICARE UPIN (02) 
001306928MEDICAID (05)CT 
A400088041MEDICARE PIN (08)NY 
130000314MEDICARE PIN (08)CT 
01556216MEDICAID (05)NY 

Medicare Participation & PECOS Enrollment Status

Jonathan Goldstein is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10021 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $150.24
  • Minimum New Patient Price $65.69
  • Maximum New Patient Price $198.19
  • Average New Patient Copayment $37.56
  • Minimum New Patient Copayment $16.42
  • Maximum New Patient Copayment $49.54

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $114.88
  • Minimum Established Patient Price $21.2
  • Maximum Established Patient Price $160.66
  • Average Established Patient Copayment $28.72
  • Minimum Established Patient Copayment $5.3
  • Maximum Established Patient Copayment $40.16

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Annual registration in the Prescription Drug Monitoring ProgramYesN/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Documentation of Current Medications in the Medical Record 100% 759
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 99% 152
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Falls: Plan of Care 81% 109
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
Immunization Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Medication Reconciliation 64% 241
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Pain Assessment and Follow-Up 76% 759
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
Participation in Joint Commission Evaluation InitiativeYesN/A
Participation in Joint Commission Ongoing Professional Practice Evaluation initiative
Patient-Specific Education 100% 261
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 93% 544
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access 100% 296
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 58% 296
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821071192, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 0 + 7 + 2 + 1 + 1 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1821071192.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Hand Surgery)
535 E 70TH ST
NEW YORK, NY 10021
Orthopaedic Surgery
535 E 70TH ST
NEW YORK, NY 10021
Specialist
535 E 70TH ST
NEW YORK, NY 10021
Psychiatry & Neurology (Neurology)
535 E 70TH ST
NEW YORK, NY 10021
Pediatrics
535 E 70TH ST
NEW YORK, NY 10021
Specialist
535 E 70TH ST
NEW YORK, NY 10021
Nurse Practitioner (Acute Care)
535 E 70TH ST
NEW YORK, NY 10021
Physician Assistant
535 E 70TH ST
NEW YORK, NY 10021
Radiology (Diagnostic Radiology)
535 E 70TH ST, HOSPITAL FOR SPECIAL SURGERY - RADIOLOGY
NEW YORK, NY 10021
Orthopaedic Surgery
535 E 70TH ST
NEW YORK, NY 10021
Orthopaedic Surgery (Foot and Ankle Surgery)
535 E 70TH ST
NEW YORK, NY 10021
Pathology (Anatomic Pathology)
535 E 70TH ST, DEPT. OF LABORATORY MEDICINE
NEW YORK, NY 10021
Pathology (Anatomic Pathology)
535 E 70TH ST, DEPT. OF LABORATORY MEDICINE
NEW YORK, NY 10021
Physician Assistant
535 E 70TH ST
NEW YORK, NY 10021
General Acute Care Hospital
535 E 70TH ST
NEW YORK, NY 10021
Internal Medicine
535 E 70TH ST
NEW YORK, NY 10021
Pediatrics (Pediatric Rheumatology)
535 E 70TH ST
NEW YORK, NY 10021
Physician Assistant
535 E 70TH ST
NEW YORK, NY 10021
Physical Therapist
535 E 70TH ST
NEW YORK, NY 10021
Internal Medicine
535 E 70TH ST, HOSPITAL FOR SPECIAL SURGERY
NEW YORK, NY 10021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821071192, enumerated as an "individual" on November 21, 2005.

The provider is located at 535 E 70TH ST DEPARTMENT OF NEUROLOGY NEW YORK, NY 10021 and the phone number is (212) 606-1046.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.