Individual provider Active NPI

Mitchell E Goldstein, D.O.

  • Family Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1568468445
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0004093 Issued in FL
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

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100619000142 FL Practitioner - Family Practice 3274423694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC CurrentSince Sep 12, 2017 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Sep 12, 2017 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.

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

Verify at the official NPI Registry.