Individual provider Active NPI

Brian Goldstein, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Upper Saddle River, NJ
National Provider Identifier
1093104440
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
019.032977 Issued in IL
Practice address
24 Old Chimney Rd
Upper Saddle River, NJ 07458-1538
Phone
(516) 330-0220
NPI assigned
Jan 22, 2015
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DBS9273 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 019.032977 IL Primary

Addresses

Primary practice location

24 Old Chimney Rd
Upper Saddle River, NJ 07458-1538

Mailing address

24 Old Chimney Rd
Upper Saddle River, NJ 07458-1538
Phone (516) 330-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 16, 2023 through Oct 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.032977ILMDOral and Maxillofacial Surgery (Dentist)
DBS9273NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Asnis Dental, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bgoldstein1052680@nychhc.direct-ci.com
  • Direct secure messaging: bgoldstein561399@direct.ahsys.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1093104440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 OLD CHIMNEY RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581538",
            "telephone_number": "516-330-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 OLD CHIMNEY RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581538",
            "telephone_number": "516-330-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "DBS9273",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019.032977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Saddle River, NJ

Sources for this page

Verify at the official NPI Registry.