Individual provider Active NPI

Marlene Goldwein, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1801868542
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD038429E Issued in PA
Practice address
6001 Ridge Avenue
Philadelphia, PA 19128
Phone
(215) 487-2260
Fax
(215) 487-7658
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD038429E PA Primary

Addresses

Primary practice location

6001 Ridge Avenue
Philadelphia, PA 19128

Mailing address

101 East Olney Avenue
505
Philadelphia, PA 19120

Other identifiers 1

IdentifierTypeStateIssuer
0011406500006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040721001273 PA Practitioner - Internal Medicine 8123008083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Community Health Associates IncGroup PAC ID 7012818008, 196 clinicians

Practice addresses (Care Compare)

6001 Ridge Ave
Philadelphia, PA 19128-1651
Phone (215) 487-2260

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038429EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc CurrentSince Jul 14, 2004 Accepting new patients
Einstein Community Health Associates, Inc Internal Medicine CurrentSince Jul 14, 2004 Accepting new patients
Einstein Practice Plan Inc Internal Medicine Past Accepting new patients

Locations

101 E Olney Ave
Ste 505
Philadelphia, PA 19120
Phone (215) 224-8675

101 E Olney Ave
Ste 400ENROLLMENT
Philadelphia, PA 19120

6001 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-1450

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

Interoperability endpoints

  • Direct secure messaging: marlene.goldwein@direct.einstein.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1801868542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EAST OLNEY AVENUE",
            "address_2": "505",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120",
            "fax_number": "215-487-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 RIDGE AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-487-2260",
            "fax_number": "215-487-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWEIN",
        "first_name": "MARLENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD038429E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011406500006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.