Active NPI
Jason Michael Goldman, M.D.
- Internal Medicine Physician
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME78957
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262331500 | Medicaid | FL |
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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME78957 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason M Goldman MD PA | Internal Medicine | Current | 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
- https://fhir4.healow.com/fhir/r4/DIBEBA/Endpoint/DIBEBA
- 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.
-
- Internal Medicine Physician
- Coral Springs, FL
- NPI 1386880417
-
- Gastroenterology Physician
- New Brunswick, NJ
- NPI 1265504849
-
- Family Medicine Physician
- Hillsborough, NJ
- NPI 1235225772
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coral Springs, FL
- NPI 1174551147
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.