Organization Active NPI

Eric S. Goldstein, M.D., P.L.L.C.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1457556797
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
214600 Issued in NY
Legal business name
ERIC S. GOLDSTEIN, M.D., P.L.L.C.
Practice address
1974 1St Ave
New York, NY 10029-6430
Phone
(212) 535-4500
Fax
(212) 535-4515
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Dr. Eric Simon Goldstein, M.D.
Title
Owner
Phone
(212) 535-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 214600 NY Primary

Addresses

Primary practice location

1974 1St Ave
New York, NY 10029-6430

Mailing address

1974 1St Ave
New York, NY 10029-6430
Phone (212) 535-4500

Other names 1

  • East River Gastroenterology and Nutrition Doing business as

National Provider Directory

National Provider Directory

Locations

1015 Madison Ave
Rm 302
New York, NY 10075
Phone (212) 426-9614

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1457556797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296430",
            "telephone_number": "212-535-4500",
            "fax_number": "212-535-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296430",
            "telephone_number": "212-535-4500",
            "fax_number": "212-535-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC S. GOLDSTEIN, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-535-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "214600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East River Gastroenterology and Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.