Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Micheline Goulart, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1568840940

Dr. Micheline Goulart, MD is a Plastic and Reconstructive Surgery in Roslyn, New York. Graduated from University of South Carolina School of Medicine in 2015, 11 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
11
Trained at
University of South Carolina School of Medicine
Licensed in
NY
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1045 Northern Blvd Fl 2
Roslyn, NY 11576-1502
Phone: (516) 279-2616
Fax: (516) 279-2632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1615 Northern Blvd Ste Gr1, Manhasset, NY 11030-3008 — (516) 279-2616

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 315500 (NY)

Record details

NPI number1568840940
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2015
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare