Active NPI
Mitchell E Goldstein, D.O.
- Family Medicine Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0004093
- Practice address
- 9970 Central Park Blvd N Ste 400
Boca Raton, FL 33428-2236 - Phone
- (561) 487-7931
- Fax
- (561) 487-1204
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0004093 | FL | Primary |
Addresses
Primary practice location
9970 Central Park Blvd N Ste 400
Boca Raton, FL 33428-2236
Mailing address
Associated Family Physicians of Boca Raton, P.L.
9910 Sandalfoot Blvd., Suite 1
Boca Raton, FL 33428-6692
Phone (561) 883-3030
Other practice location 1
9970 Central Park Blvd N Ste 205
Boca Raton, FL 33428-2236
Phone (561) 487-7931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients |
Locations
9970 Central Park Blvd N
Ste 205
Boca Raton, FL 33428
Phone (561) 487-1203
9970 Central Park Blvd N
Ste 400
Boca Raton, FL 33428
Phone (561) 483-1600
3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333
1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1568468445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ASSOCIATED FAMILY PHYSICIANS OF BOCA RATON, P.L.",
"address_2": "9910 SANDALFOOT BLVD., SUITE 1",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334286692",
"telephone_number": "561-883-3030",
"fax_number": "561-852-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9970 CENTRAL PARK BLVD N STE 400",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334282236",
"telephone_number": "561-487-7931",
"fax_number": "561-487-1204"
}
],
"practiceLocations": [
{
"address_1": "9970 Central Park Blvd N Ste 205",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334282236",
"country_code": "US",
"telephone_number": "561-487-7931",
"fax_number": "561-487-1204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "MITCHELL",
"middle_name": "E",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS0004093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.