JENNIFER LEE GOLDSTOCK ANP-BC
NPI 1962743831
Nurse Practitioner - Adult Health in Latham, NY

Q: What is Jennifer Goldstock's NPI number?

The NPI number for Jennifer Goldstock is 1962743831. It was assigned to this individual provider in the NPPES registry on March 1, 2013. The provider is also known as Jennifer L. Mager Anp-Bc.

Q: What is Jennifer Goldstock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: Is Jennifer Goldstock enrolled in Medicare?

No. Jennifer Goldstock has opted out of Medicare through October 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since March 01, 2013Opted out of Medicare · through Oct 5, 2027

654 WATERVLIET SHAKER RD, SUITE 3, LATHAM, NY 12110(518) 218-4454(518) 380-2023 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2019, Sep 12, 2017 (2 updates tracked since 2017).

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About Jennifer Lee Goldstock Anp-bc NPPES

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

JENNIFER LEE GOLDSTOCK ANP-BC (NPI 1962743831) is an individual adult health provider in Latham, New York, licensed in New York (F306334-1) and active in the NPI registry since March 2013. She has opted out of Medicare through October 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962743831

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJENNIFER LEE GOLDSTOCKCredential: ANP-BC

Location Address654 WATERVLIET SHAKER RD, SUITE 3Latham, NY 12110

Mailing Address654 Watervliet Shaker Rd, Suite 3Latham, NY 12110 · (518) 218-4454 · Fax (518) 380-2023

Phone(518) 218-4454

Fax(518) 380-2023

Sole ProprietorNo

Enumeration DateMarch 1, 2013

Last NPPES UpdateNovember 22, 20192 updates tracked since enumeration

✔ NPI 1962743831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F306334-1

654 WATERVLIET SHAKER RD, Latham, NY 12110

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Other Names 1

Former Name (1)Jennifer L. Mager Anp-bc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Lee Goldstock Anp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 5, 2017 through October 5, 2027.

Opt-Out Effective DateOctober 5, 2017

Opt-Out In Effect ThroughOctober 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 2

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

R & L INVESTED CAPITAL, LLC

Massage Therapist

654 WATERVLIET SHAKER RD
LATHAM, NY 12110

Albany County (518) 785-7258

MRS. NATASHA KAPSAROFF-RUIZ FNP-C

Nurse Practitioner (Family)

654 WATERVLIET SHAKER RD
LATHAM, NY 12110

Albany County (518) 218-4455

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 Jennifer Goldstock's NPI number?

The NPI number for Jennifer Goldstock is 1962743831. It was assigned to this individual provider in the NPPES registry on March 1, 2013. The provider is also known as Jennifer L. Mager Anp-Bc.

Where is Jennifer Goldstock located?

Jennifer Goldstock practices at 654 Watervliet Shaker Rd Suite 3, Latham, NY 12110. The listed phone number is (518) 218-4454.

What is Jennifer Goldstock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jennifer Goldstock enrolled in Medicare?

No. Jennifer Goldstock has opted out of Medicare through October 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Goldstock was last updated on November 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.