Organization Active NPI

Goldwasser Urogynecology PLLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • St Augustine, FL
National Provider Identifier
1063394450
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.