Active NPI
Perry Chet Goldstein, RN, BSN,CMSRN
- Medical-Surgical Registered Nurse
- York, ME
National Provider Identifier
1043247828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- RN 52296
- Practice address
- 647 US Route 1
#14149
York, ME 03909-1689 - Phone
- (207) 272-4787
- Fax
- (207) 221-1273
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN 52296 | ME | Primary |
| Case Management Registered Nurse | 163WC0400X | RN 52296 | ME | |
| Home Health Registered Nurse | 163WH0200X | RN 52296 | ME | |
| Gerontology Registered Nurse | 163WG0600X | RN 52296 | ME | |
| General Practice Registered Nurse | 163WG0000X | RN 52296 | ME |
Addresses
Primary practice location
647 US Route 1
#14149
York, ME 03909-1689
Mailing address
647 US Route 1
#14149
York, ME 03909-1689
Phone (207) 272-4787
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 52296 | ME | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1043247828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 US ROUTE 1",
"address_2": "#14149",
"city": "YORK",
"state": "ME",
"postal_code": "039091689",
"telephone_number": "207-272-4787",
"fax_number": "207-221-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 US ROUTE 1",
"address_2": "#14149",
"city": "YORK",
"state": "ME",
"postal_code": "039091689",
"telephone_number": "207-272-4787",
"fax_number": "207-221-1273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "PERRY",
"middle_name": "CHET",
"name_prefix": "Mr.",
"credential": "RN, BSN,CMSRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "ME",
"license": "RN 52296",
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "ME",
"license": "RN 52296",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "ME",
"license": "RN 52296",
"primary": false
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "ME",
"license": "RN 52296",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "ME",
"license": "RN 52296",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.