Jack M Goloff, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8491 Issued in FL

Practice address

304 NW 36TH St
Gainesville, FL 32607-2443

Phone

(954) 263-3399

Fax

(954) 493-8889

NPI assigned

Sep 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VI, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nutrition & Cake LLC

  • Registered Dietitian
  • Christiansted, VI
  • NPI 1093593220
  NPD

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1619125390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 NW 36TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072443",
            "telephone_number": "954-263-3399",
            "fax_number": "954-493-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 NW 36TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072443",
            "telephone_number": "954-263-3399",
            "fax_number": "954-493-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4003 Beeston Hill Medical Center",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Christiansted",
            "state": "VI",
            "postal_code": "008200082",
            "country_code": "US",
            "telephone_number": "340-474-9440",
            "fax_number": "954-493-8889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLOFF",
        "first_name": "JACK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "OS8194",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "8491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Evin Goldstein, MD
• Samuel R Goldstein
• Steven Shane Goldstein, M.D.
• Adam Joseph Golembioski, MD
• Goldie B Gollihue, RN
• Steven Michael Golowenski, RRT
• Konstantin Golubykh, M.D.
• Eileen C Golway, DMD
• Miral Gomaa, DMD
• Vianny Maria Gomara

• Family Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.

Verify at the official NPI Registry.