Individual provider Active NPI

Michael Bruce Goldstein, MD

  • Gastroenterology Physician
  • Voorhees, NJ
National Provider Identifier
1669469581
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA04219200 Issued in NJ
Practice address
2301 E Evesham Rd Ste 110
Buliding 800
Voorhees, NJ 08043-4502
Phone
(856) 772-1600
Fax
(856) 772-9031
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA04219200 NJ Primary

Addresses

Primary practice location

2301 E Evesham Rd Ste 110
Buliding 800
Voorhees, NJ 08043-4502

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

875 Kings Hwy Ste 102
West Deptford, NJ 08096-3165
Phone (856) 384-8282

Other practice location 2

239 Hurffville Crosskeys Rd Ste 490
Sewell, NJ 08080-4002
Phone (856) 237-8045

Other identifiers 2

IdentifierTypeStateIssuer
1002104MedicaidNJ
P00397513OtherNJMEDICARE RR

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mgoldstein20425@directvirtua.org
Direct Messaging Address mgoldstein20425@directvirtua.org
Direct Messaging Address mgoldstein20425@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070410000494 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 7517981160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

217 White Horse Pike
Haddon Heights, NJ 08035-1703
Phone (856) 547-1212

239 Hurffville Crosskeys Rd
Suite 245
Sewell, NJ 08080-4006
Phone (856) 341-8300

3242 Route 206
Bordentown, NJ 08505-4517

502 Centennial Blvd
Suite 3
Voorhees, NJ 08043-9544
Phone (856) 751-2300

875 Kings Hwy
Suite 102
West Deptford, NJ 08096-3165
Phone (856) 384-8282

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy97
Upper gastrointestinal (GI) endoscopy for acid reflux61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Gastroenterology CurrentSince Oct 1, 2019 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 1, 2019 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

239 Hurffville Crosskeys Rd
Ste 490
Sewell, NJ 08080

570 Egg Harbor Rd
Ste B3
Sewell, NJ 08080
Phone (856) 374-5822

2301 E Evesham Rd
Ste 110
Voorhees, NJ 08043
Phone (856) 772-0043

875 Kings Hwy
Ste 102
West Deptford, NJ 08096
Phone (856) 384-8282

Interoperability endpoints

  • Direct secure messaging: mgoldstein20425@directvirtua.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1669469581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 110",
            "address_2": "BULIDING 800",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434502",
            "telephone_number": "856-772-1600",
            "fax_number": "856-772-9031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Kings Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Deptford",
            "state": "NJ",
            "postal_code": "080963165",
            "country_code": "US",
            "telephone_number": "856-384-8282",
            "fax_number": "856-853-7316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 490",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804002",
            "country_code": "US",
            "telephone_number": "856-237-8045",
            "fax_number": "856-237-8047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MICHAEL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA04219200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002104",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00397513",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgoldstein20425@directvirtua.org",
            "affiliation": "N",
            "address_1": "875 Kings Hwy Ste 102",
            "city": "West Deptford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080963165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgoldstein20425@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 490",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgoldstein20425@directvirtua.org",
            "affiliation": "N",
            "address_1": "2301 E Evesham Rd Ste 110",
            "address_2": "Buliding 800",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.