Individual provider Active NPI

Jason Michael Goldman, M.D.

  • Internal Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1184610040
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78957 Issued in FL
Practice address
3100 Coral Hills Dr
Suite #308
Coral Springs, FL 33065-4137
Phone
(954) 227-1234
Fax
(954) 227-1244
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME78957 FL Primary

Addresses

Primary practice location

3100 Coral Hills Dr
Suite #308
Coral Springs, FL 33065-4137

Mailing address

3100 Coral Hills Dr
Suite #308
Coral Springs, FL 33065-4137
Phone (954) 227-1234

Other identifiers 1

IdentifierTypeStateIssuer
262331500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000221 FL Practitioner - Internal Medicine 6608933304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3001 Coral Hills Dr
Suite 340
Coral Springs, FL 33065-4113
Phone (954) 227-1234

Hospital & facility affiliations

  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME78957FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jason M Goldman MD PA Internal Medicine CurrentSince Feb 13, 2009 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Past Accepting new patients
Snyder Randhawa, LLC Past Accepting new patients

Locations

3001 Coral Hills Dr
Ste 340
Coral Springs, FL 33065
Phone (561) 487-5506

3100 Coral Hills Dr
Ste 308
Coral Springs, FL 33065
Phone (954) 227-1234

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIBEBA/Endpoint/DIBEBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIBEBA

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1184610040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR",
            "address_2": "SUITE #308",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654137",
            "telephone_number": "954-227-1234",
            "fax_number": "954-227-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR",
            "address_2": "SUITE #308",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654137",
            "telephone_number": "954-227-1234",
            "fax_number": "954-227-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262331500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.