Active NPI
Steven Goldstein, DO
- Cardiovascular Disease Physician
- Salem, VA
National Provider Identifier
1629019179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0102202799
- Practice address
- 1802 Braeburn Dr
Salem, VA 24153-7357 - Phone
- (540) 776-2010
- Fax
- (540) 725-5017
- NPI assigned
- Jun 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0102202799 | VA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 25MB05168400 | NJ |
Addresses
Primary practice location
1802 Braeburn Dr
Salem, VA 24153-7357
Mailing address
1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 776-2010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0095460 | Medicaid | NJ | |
| 1629019179 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | STEVEN.GOLDSTEIN@hca6.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB05168400 | NJ | MD | Cardiovascular Disease Physician |
| 0102202799 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Regional Medical Center | Past | Accepting new patients |
Interoperability endpoints
- steven.goldstein@hca6.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
dba ARMC Anesthesiologists
- Anesthesiology Physician
- Pomona, NJ
- NPI 1710930102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1629019179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 BRAEBURN DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241537357",
"telephone_number": "540-776-2010",
"fax_number": "540-725-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 BRAEBURN DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241537357",
"telephone_number": "540-776-2010",
"fax_number": "540-725-5017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "STEVEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0102202799",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MB05168400",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0095460",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629019179",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "STEVEN.GOLDSTEIN@hca6.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1802 Braeburn Dr",
"city": "Salem",
"state": "VA",
"country_code": "US",
"postal_code": "241537357",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.