Active NPI
Norman Goldstein MD Inc
- Dermatology Physician
- Honolulu, HI
National Provider Identifier
1679643134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 1478
- Legal business name
- NORMAN GOLDSTEIN MD INC
- Practice address
- 1128 Smith St
Honolulu, HI 96817-5139 - Phone
- (808) 538-7044
- Fax
- (808) 531-7185
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Norman Goldstein, M.D.
- Title
- Owner
- Phone
- (808) 538-7044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 1478 | HI | Primary |
Addresses
Primary practice location
1128 Smith St
Honolulu, HI 96817-5139
Mailing address
PO Box 25370
Honolulu, HI 96825-0370
Phone (808) 536-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02833502 | Medicaid | HI |
National Provider Directory
National Provider DirectoryLocations
1128 Smith St
Honolulu, HI 96817
Phone (808) 538-7044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1679643134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25370",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968250370",
"telephone_number": "808-536-0300",
"fax_number": "808-536-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 SMITH ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968175139",
"telephone_number": "808-538-7044",
"fax_number": "808-531-7185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORMAN GOLDSTEIN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "NORMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-538-7044",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "HI",
"license": "1478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02833502",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.