Active NPI
James I Goldston, MD
- Pediatrics Physician
- Waltham, MA
National Provider Identifier
1386688828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 73331
- Practice address
- 42 Weston St Ste 2a
Waltham, MA 02453-7756 - Phone
- (781) 747-8480
- Fax
- (949) 577-4121
- NPI assigned
- Jun 15, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 73331 | MA | |
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | 73331 | MA | |
| Pediatrics Physician | 208000000X | 73331 | MA | Primary |
Addresses
Primary practice location
42 Weston St Ste 2a
Waltham, MA 02453-7756
Mailing address
5 Upland Woods Cir Unit 208
Norwood, MA 02062-3192
Phone (617) 962-6151
Other practice location 1
5 Upland Woods Cir Unit 208
Norwood, MA 02062-3192
Phone (781) 747-8480
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001248733 | Other | MA | UNITED HEALTH CARE # |
| 201253 | Other | MA | HPHC # |
| 28929 | Other | MA | CHILDRENS MEDICAL SECURIT |
| 30690441 | Medicaid | MA | |
| 4266105 | Other | MA | AETNA # |
| 073331 | Other | MA | TUFTS # |
| 40263 | Other | UNITED HEALTHCARE | |
| 195221 | Other | MA | PHCS # |
| J10471 | Other | MA | BCBSMA |
| 0029449 | Other | CIGNA # | |
| 9787429 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73331 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677974400000",
"number": "1386688828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 UPLAND WOODS CIR UNIT 208",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623192",
"telephone_number": "617-962-6151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 WESTON ST STE 2A",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024537756",
"telephone_number": "781-747-8480",
"fax_number": "949-577-4121"
}
],
"practiceLocations": [
{
"address_1": "5 Upland Woods Cir Unit 208",
"address_purpose": "LOCATION",
"city": "Norwood",
"state": "MA",
"postal_code": "020623192",
"country_code": "US",
"telephone_number": "781-747-8480",
"fax_number": "949-577-4121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDSTON",
"first_name": "JAMES",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2023-03-05",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "MA",
"license": "73331",
"primary": false
},
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "MA",
"license": "73331",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "73331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE #",
"identifier": "001248733",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC #",
"identifier": "201253",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "28929",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30690441",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA #",
"identifier": "4266105",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS #",
"identifier": "073331",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "40263",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS #",
"identifier": "195221",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "J10471",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA #",
"identifier": "0029449",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9787429",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.