Organization Active NPI

Alben G Goldstein MD PC

  • Rheumatology Physician
  • Arlington, VA
National Provider Identifier
1407986151
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
ALBEN G GOLDSTEIN MD PC
Practice address
611 S Carlin Springs Road
Suite 202
Arlington, VA 22204
Phone
(703) 379-5828
Fax
(703) 379-5827
NPI assigned
Mar 6, 2007
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Marian L Gonzalez
Title
Billing MGR
Phone
(703) 379-5828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

611 S Carlin Springs Road
Suite 202
Arlington, VA 22204

Mailing address

611 S Carlin Springs Road
Suite 202
Arlington, VA 22204
Phone (703) 379-5828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040105000787 DC Part B Supplier - Clinic/Group Practice 3476452871 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, VA

National Provider Directory

National Provider Directory

Locations

611 S Carlin Springs Rd
Ste 202
Arlington, VA 22204
Phone (703) 379-5828

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1407986151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS ROAD",
            "address_2": "SUITE 202",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22204",
            "telephone_number": "703-379-5828",
            "fax_number": "703-379-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS ROAD",
            "address_2": "SUITE 202",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22204",
            "telephone_number": "703-379-5828",
            "fax_number": "703-379-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEN G GOLDSTEIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "703-379-5828"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.