NPIMap

Individual provider Active NPI

Marc Goldstein, D.O.C.M.D.

  • Family Medicine Physician
  • North Bergen, NJ
National Provider Identifier
1770569568
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB03186200 Issued in NJ
Practice address
8100 Kennedy Blvd
North Bergen, NJ 07047-4254
Phone
(201) 866-6770
Fax
(201) 866-6771
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB03186200 NJ Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MB03186200 NJ

Addresses

Primary practice location

8100 Kennedy Blvd
North Bergen, NJ 07047-4254

Mailing address

8100 Kennedy Blvd
North Bergen, NJ 07047-4254
Phone (201) 866-6770

Other identifiers 3

IdentifierTypeStateIssuer
2254808MedicaidNJ
D01987900OtherNJCDS
MB03186200OtherNJDOCTOR OF OSTEOPATHY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040706000537 NJ Practitioner - Family PracticePractitioner - Geriatric Medicine 9931186152 Reassigns benefits to 4 organizations
I20090519000002 NY Practitioner - Family PracticePractitioner - Geriatric Medicine 9931186152 Practice locations: Nanuet, NY

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Philadelphia College of Osteopathic Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Community Healthcare, Inc.Group PAC ID 5193637072, 18 clinicians
Marc GoldsteinGroup PAC ID 2264419217, 6 clinicians

Practice addresses (Care Compare)

115 Christopher Columbus Dr
Jersey City, NJ 07302-5526
Phone (551) 256-8406

8100 Kennedy Blvd
North Bergen, NJ 07047-4254

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB03186200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Community Healthcare, Inc. CurrentSince Sep 16, 2024 Accepting new patients
Marc Goldstein Geriatric Medicine CurrentSince Jun 1, 2004 Accepting new patients
Palisades Medical Associates LLC CurrentSince Jun 21, 2014 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Nov 1, 2019 Accepting new patients
800 River Road Operating Company, LLC Past Accepting new patients
Brunswick Garden Group LLC Past Accepting new patients
Hudson Hills Senior Living, LLC Past Accepting new patients
Secaucus Healthcare Center LLC Past Accepting new patients
Hudsonview Center for Rehabilitation and Healthcare LLC Past Accepting new patients
Alliance Community Healthcare, Inc. PastSince Feb 4, 2024 Accepting new patients
MV Opco LLC Past Accepting new patients
Cornell Hall Care & Rehabilitation Center LLC Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Harbour View Senior Living Corp Past Accepting new patients

Locations

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

600 Pavonia Ave
Ste 7
Jersey City, NJ 07306
Phone (201) 418-0088

115 Christopher Columbus Dr
Jersey City, NJ 07302
Phone (551) 200-9680

714 Bergen Ave
Jersey City, NJ 07306
Phone (201) 201-4795

115 Christopher Columbus Dr
#D
Jersey City, NJ 07302
Phone (551) 256-8406

26 Journal Sq
Ste 1600
Jersey City, NJ 07306

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

9020 Wall St
North Bergen, NJ 07047
Phone (201) 809-2900

8100 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 656-4104

3161 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 867-3585

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

3200 Hudson Ave
Union City, NJ 07087
Phone (201) 325-8400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECHFAA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Optima Care FountainsSecaucus, NJ, CCN 315476 Skilled nursing facility Adp of the SNF Aug 1, 2021
Harbour View Senior Living CorpNorth Bergen, NJ, CCN 315525 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2022
Jul 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770569568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474254",
            "telephone_number": "201-866-6770",
            "fax_number": "201-866-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474254",
            "telephone_number": "201-866-6770",
            "fax_number": "201-866-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.O.C.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB03186200",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MB03186200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2254808",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D01987900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR OF OSTEOPATHY",
            "identifier": "MB03186200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.