Active NPI
Melissa Ryan Goldstone
- Pediatrics Physician
- Rockville, MD
National Provider Identifier
1346862810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R213978
- Practice address
- 401 Hungerford Dr FL 2
Rockville, MD 20850-4154 - Phone
- (240) 740-6372
- NPI assigned
- May 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | R213978 | MD | |
| Pediatrics Physician | 208000000X | R213978 | MD | Primary |
Addresses
Primary practice location
401 Hungerford Dr FL 2
Rockville, MD 20850-4154
Mailing address
14632 Jaystone Dr
Silver Spring, MD 20905-7405
Phone (216) 534-5305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R213978 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1346862810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14632 JAYSTONE DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209057405",
"telephone_number": "216-534-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HUNGERFORD DR FL 2",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504154",
"telephone_number": "240-740-6372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTONE",
"first_name": "MELISSA",
"middle_name": "RYAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-07",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MD",
"license": "R213978",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "R213978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.