Ilene Joy Goldstein, M.D.

Primary specialty

Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X

License

ME119313 Issued in FL

Practice address

10301 Hagen Ranch Rd Ste 760
Boynton Beach, FL 33437-3777

Phone

(954) 315-5750

Fax

(954) 733-5004

NPI assigned

Nov 2, 2006

Last updated

Apr 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: igoldstein@pa.trimed.direct-ci.com

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.

• Saltzman, Tanis, Pittel, Levin and Jacobson

  dba Pediatric Associates

  • Pediatrics Physician
  • Boynton Beach, FL
  • NPI 1952519654
  NPD (past)
• Saltzman, Tanis, Pittell, Levin and Jacobson

  dba Pediatric Associates

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480

  Pediatric Allergy/Immunology

  NPD (past)
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC

  dba Pediatric Associates

  • Pediatric Endocrinology Physician
  • Parkland, FL
  • NPI 1366991713
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1225117138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "954-315-5750",
            "fax_number": "954-733-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD STE 760",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373777",
            "telephone_number": "954-315-5750",
            "fax_number": "954-733-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "ILENE",
        "middle_name": "JOY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "FL",
            "license": "ME119313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104776000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yarden Ora Goldman Gollan, MD
• Andrew Goldring, DDS
• Caleb Goldson, DC
• Horace Sommerville Goldson, BS
• Breanna Goldstein
• Robert Z Goldstein, M.D.
• Adrian D Golgotiu, MD
• Carlos Alexandre Gomes Dasilva
• Anthony Daniel Gomes, RRT
• Jerry Gomez Rosado

• Pediatric Allergy/Immunology Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Pediatric Allergy/Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.