Organization Active NPI

Norman Goldstein MD Inc

  • Dermatology Physician
  • Honolulu, HI
National Provider Identifier
1679643134
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1478 Issued in HI
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

Updated by the provider on Oct 11, 2007

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02833502MedicaidHI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.