Organization Active NPI

Dawn Goldstein MC LLC

  • Internal Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1467260372
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DAWN GOLDSTEIN MC LLC
Practice address
937 3Rd Street Suite 307
Santa Monica, CA 90403
Phone
(973) 214-3016
NPI assigned
Dec 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Rose Velasquez
Title
Administration
Phone
(201) 641-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

937 3Rd Street Suite 307
Santa Monica, CA 90403

Mailing address

560 Hudson St Ste 301
Hackensack, NJ 07601-6655
Phone (201) 641-2125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1467260372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 HUDSON ST STE 301",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016655",
            "telephone_number": "201-641-2125",
            "fax_number": "212-888-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 3RD STREET SUITE 307",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "973-214-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN GOLDSTEIN MC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "201-641-2125"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.