Organization Active NPI

Marvin R. Goldstein, MD, LTD

  • Cardiovascular Disease Physician
  • Scottsdale, AZ
National Provider Identifier
1790002897
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4921 Issued in AZ
Legal business name
MARVIN R. GOLDSTEIN, MD, LTD
Practice address
7331 E Osborn Dr
Suite 440
Scottsdale, AZ 85251-6435
Phone
(480) 949-9429
Fax
(480) 949-2413
NPI assigned
Apr 28, 2010
Last updated
Apr 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Jane M Wisniewski
Title
Office Manager
Phone
(480) 949-9829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 4921 AZ Primary

Addresses

Primary practice location

7331 E Osborn Dr
Suite 440
Scottsdale, AZ 85251-6435

Mailing address

7331 E Osborn Dr
Suite 440
Scottsdale, AZ 85251-6435
Phone (480) 949-9429

Other identifiers 1

IdentifierTypeStateIssuer
AZ0028770OtherAZBC ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100818000494 AZ Part B Supplier - Clinic/Group Practice 7416081096 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0676134Marvin R Goldstein MD7331 E Osborn Rd # 440, Scottsdale, AZ 85251Provider-performed microscopyAug 20, 2026

National Provider Directory

National Provider Directory

Locations

7331 E Osborn Dr
Ste 440
Scottsdale, AZ 85251
Phone (480) 949-9429

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1790002897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 E OSBORN DR",
            "address_2": "SUITE 440",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516435",
            "telephone_number": "480-949-9429",
            "fax_number": "480-949-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 E OSBORN DR",
            "address_2": "SUITE 440",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516435",
            "telephone_number": "480-949-9429",
            "fax_number": "480-949-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN R. GOLDSTEIN, MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "WISNIEWSKI",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-949-9829"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "4921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC ID",
            "identifier": "AZ0028770",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.