Active NPI
Jonathan Edward Goldstein, M.D.
- Interventional Cardiology Physician
- Newark, NJ
National Provider Identifier
1679532287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 68488
- Practice address
- 268 Martin Luther King Jr Blvd
5TH Floor
Newark, NJ 07102-2011 - Phone
- (973) 877-5463
- Fax
- (973) 877-2567
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA39764 | NJ | |
| Interventional Cardiology Physician | 207RI0011X | 68488 | WI | Primary |
Addresses
Primary practice location
268 Martin Luther King Jr Blvd
5TH Floor
Newark, NJ 07102-2011
Mailing address
769 Northfield Ave
Suite 220
West Orange, NJ 07052-1198
Phone (973) 731-9442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1512404 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA39764 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan E. Goldstein MD | Interventional Cardiology | Current | Accepting new patients |
| Diagnostic & Clinical Cardiology, PA | Interventional Cardiology | Past | Accepting new patients |
| Ekg Interpretation Group | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Interventional Cardiology Physician
- Newark, NJ
- NPI 1215034640
-
- Cardiovascular Disease Physician
- West Orange, NJ
- NPI 1760481493
Interventional Cardiology
-
- Cardiovascular Disease Physician
- West Orange, NJ
- NPI 1447261714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1679532287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 NORTHFIELD AVE",
"address_2": "SUITE 220",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521198",
"telephone_number": "973-731-9442",
"fax_number": "973-731-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 MARTIN LUTHER KING JR BLVD",
"address_2": "5TH FLOOR",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071022011",
"telephone_number": "973-877-5463",
"fax_number": "973-877-2567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "JONATHAN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA39764",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WI",
"license": "68488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1512404",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.