Active NPI
Goldwasser Urogynecology PLLC
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- St Augustine, FL
National Provider Identifier
1063394450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Legal business name
- GOLDWASSER UROGYNECOLOGY PLLC
- Practice address
- 300 Health Park Blvd Ste 5010
St Augustine, FL 32086-3705 - Phone
- (904) 535-4104
- Fax
- (877) 682-2135
- NPI assigned
- Jul 24, 2025
- Last updated
- Feb 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Goldwasser, MD
- Title
- Owner
- Phone
- (904) 535-4104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | NU | Primary |
Addresses
Primary practice location
300 Health Park Blvd Ste 5010
St Augustine, FL 32086-3705
Mailing address
309 Plaza
Atlantic Beach, FL 32233-5441
Phone (904) 535-4104
National Provider Directory
National Provider DirectoryLocations
300 Health Park Blvd
Ste 5010
St Augustine, FL 32086
Phone (904) 808-0406
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- St Augustine, FL
- NPI 1467427633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771977600000",
"number": "1063394450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 PLAZA",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322335441",
"telephone_number": "904-535-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HEALTH PARK BLVD STE 5010",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320863705",
"telephone_number": "904-535-4104",
"fax_number": "877-682-2135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDWASSER UROGYNECOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-24",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A",
"authorized_official_last_name": "GOLDWASSER",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-535-4104",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.