Individual provider Active NPI

Jared Goldstein, MD

  • Urology Physician
  • Boca Raton, FL
National Provider Identifier
1780210443
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME180526 Issued in FL
Practice address
745 Meadows Rd Ste 201
Boca Raton, FL 33486-2324
Phone
(561) 955-5790
Fax
(833) 626-1932
NPI assigned
Mar 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME180526 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X LP05246 RI

Addresses

Primary practice location

745 Meadows Rd Ste 201
Boca Raton, FL 33486-2324

Mailing address

745 Meadows Rd Ste 201
Suite 201
Boca Raton, FL 33486-2324
Phone (561) 955-5790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20210526001626 RI Order and Referring Only - UrologyPractitioner - Urology 6709285612

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1780210443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 MEADOWS RD STE 201",
            "address_2": "SUITE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862324",
            "telephone_number": "561-955-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 MEADOWS RD STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862324",
            "telephone_number": "561-955-5790",
            "fax_number": "833-626-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "JARED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-13",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME180526",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "RI",
            "license": "LP05246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.