Martin B. Goldstein, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS001317L Issued in PA

Practice address

404 Caranel Circle
Narberth, PA 19072

Phone

(610) 329-7251

NPI assigned

Jun 29, 2009

Sex

Male

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 PA

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 Osteopathy

State licenses

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1396973442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 42ND STREET",
            "city": "AVALON",
            "state": "NJ",
            "postal_code": "08202",
            "telephone_number": "609-967-5213",
            "fax_number": "609-967-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CARANEL CIRCLE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "19072",
            "telephone_number": "610-329-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MARTIN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS001317L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0684970",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Fay Gaub, LPC
• Jeffrey S Gerland, DPM
• Milita Ghassemzadeh Borguet, D.M.D.
• Peter Goldenthal, PH.D.
• Laura Gessow Goldman, M.A., CCC-SLP
• Stacy G. Goldstein, M. A., CCC
• Stephanie C Gonzalez, OTR/L
• Simone Gorko, PSYD
• Cathy Ann Gray - Weglos, D.M.D.
• Gray Dental Inc.

• Psychiatry Physician in Narberth, PA
• Providers in Narberth, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.