Active NPI
Mark Goldstein, MD
- Neurology Physician
- Atlantis, FL
National Provider Identifier
1013952282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME41855
- Practice address
- 140 JFK Dr
Atlantis, FL 33462-6608 - Phone
- (561) 968-6767
- Fax
- (561) 641-0814
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME41855 | FL | Primary |
Addresses
Primary practice location
140 JFK Dr
Atlantis, FL 33462-6608
Mailing address
5700 Lake Worth Rd
#204
Greenacres, FL 33463-4727
Phone (561) 968-7968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1013952282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 LAKE WORTH RD",
"address_2": "#204",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334634727",
"telephone_number": "561-968-7968",
"fax_number": "561-964-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 JFK DR",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626608",
"telephone_number": "561-968-6767",
"fax_number": "561-641-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME41855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.