Zachary Goldstein, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01920600 Issued in NJ

Practice address

67 E Kings Hwy
Maple Shade, NJ 08052-2048

Phone

(856) 495-1984

Fax

(651) 602-3669

NPI assigned

Sep 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dr.zach@unlimitedperformancellc.com

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1225645989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 UNION AVE",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080311620",
            "telephone_number": "856-495-1984",
            "fax_number": "651-602-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E KINGS HWY",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522048",
            "telephone_number": "856-495-1984",
            "fax_number": "651-602-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028614",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01920600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dr.Zach@unlimitedperformancellc.com",
            "affiliation": "N",
            "address_1": "222 Union Ave",
            "city": "Bellmawr",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080311620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Excalibur Healthcare
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• Lauren Fogarty
• Jocelyn Anne Foster, APN
• Anne Frances Fox, RNFA
• Goodwill Industries of Southern New Jersey and Philadelphia
• Arthur J Greene, MD
• Sania Gupta
• Julie Anne Hammond, DO
• Helping US Be of Hope

• Physical Therapist in Maple Shade, NJ
• Providers in Maple Shade, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.