IAN SCOTT GOLDLUST MD, PHD
NPI 1891359147
Student in an Organized Health Care Education/Training Program in New York, NY

Q: What is Ian Goldlust's NPI number?

The NPI number for Ian Goldlust is 1891359147. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Q: What is Ian Goldlust's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ian Goldlust was last updated on April 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 23, 2019PECOS Enrolled

622 W 168TH ST, NEW YORK, NY 10032(212) 305-6262 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ian Scott Goldlust Md, Phd NPPES

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

IAN SCOTT GOLDLUST MD, PHD (NPI 1891359147) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891359147

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameIAN SCOTT GOLDLUSTCredential: MD, PHD

Location Address622 W 168TH STNew York, NY 10032-3720

Mailing Address622 W 168th StNew York, NY 10032-3720

Phone(212) 305-6262

Sole ProprietorNo

Enumeration DateApril 23, 2019

✔ NPI 1891359147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

622 W 168TH ST, New York, NY 10032

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian Scott Goldlust Md, Phd 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.