Marc Goldstein

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MARC GOLDSTEIN

Practice address

8100 Kennedy Blvd
North Bergen, NJ 07047-4254

Phone

(201) 866-6770

Fax

(201) 866-6771

NPI assigned

Dec 21, 2005

Last updated

Dec 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marc Goldstein, D.O.C.M.DNPI 1770569568

Title

Doctor

Phone

(201) 866-6770

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Marc Goldstein, D.O.C.M.D.

  • Family Medicine Physician
  • North Bergen, NJ
  • NPI 1770569568

  Geriatric Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Ibrahima T Diallo, APN

  • Family Nurse Practitioner
  • Jersey City, NJ
  • NPI 1639651714
  Medicare reassignment Care Compare group NPD
• Alena Toronto

  • Gerontology Nurse Practitioner
  • Montclair, NJ
  • NPI 1609366780
  Medicare reassignment Care Compare group NPD
• Yunaisy Rodriguez, FNP-C

  • Family Nurse Practitioner
  • Venice, FL
  • NPI 1104632140

  NJ

  Medicare reassignment Care Compare group NPD
• Anne I Remi-Johnson

  • Family Nurse Practitioner
  • Newark, NJ
  • NPI 1336805415
  Medicare reassignment Care Compare group
• Marifel B. Vidal, APN

  • Nurse Practitioner
  • Jersey City, NJ
  • NPI 1902473226
  Medicare reassignment Care Compare group
• Marcia M Gonzalez, MD

  • Internal Medicine Physician
  • North Bergen, NJ
  • NPI 1780790568
  Medicare reassignment NPD
• Biljana Scopulovic-Nikolic

  • Internal Medicine Physician
  • North Bergen, NJ
  • NPI 1508029042
  Medicare reassignment NPD
• Elizabeth Simon, D.O.

  • Internal Medicine Physician
  • North Bergen, NJ
  • NPI 1467788703
  Medicare reassignment NPD

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1558347583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474254",
            "telephone_number": "201-866-6770",
            "fax_number": "201-866-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474254",
            "telephone_number": "201-866-6770",
            "fax_number": "201-866-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC GOLDSTEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-866-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O.C.M.D"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2254808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashwini Mahadevaiah
• Avni Mahiji
• Zainab Mahmoud
• Mahir J Majid, M.D., FACOG
• Maria Sheryll Manalang, P.T.
• Talila Marcus
• Michena Marescot
• Amy Markantes
• Brenda Marquez Garcia
• Heidy Martinez-Avila, MD

• Geriatric Medicine (Internal Medicine) Physician in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Geriatric Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.