Mark Goldgeier, MD
Dermatology in Rochester, NY. Individual provider (NPI-1).
NPI number1629009352
StatusActive
Last updated in NPPESMay 7, 2015
Details
- NPI
- 1629009352
- Entity type
- Individual (NPI-1)
- Name
- Mark Goldgeier
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 5, 2006
- Last updated
- May 7, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- Medicare opt-out
- Jan 1, 2017 to Jan 1, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 148706 | NY | Yes |
Practice location
919 Westfall RdBldg A. Suite 200
Rochester, NY 14618-2638
Phone 585-244-4240 · Fax 585-442-4767
Mailing address
919 Westfall RdBldg A. Suite 200
Rochester, NY 14618-2638
Phone 585-244-4240 · Fax 585-442-4767
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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