Center City Medical Associates PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB02205600 Issued in NJ

Legal business name

CENTER CITY MEDICAL ASSOCIATES PA

Practice address

506 Broadway
Camden, NJ 08103

Phone

(856) 963-8907

Fax

(856) 963-9061

NPI assigned

Jan 18, 2007

Last updated

Nov 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Goldstein, DO

Title

Pres

Phone

(856) 963-8907

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1811040603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 BROADWAY",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-963-8907",
            "fax_number": "856-963-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 BROADWAY",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-963-8907",
            "fax_number": "856-963-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER CITY MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "856-963-8907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02205600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2683008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Michael Caterina, DNP, CRNA
• Catholic Charities, Diocese of Camden, Inc
• Rabia Latif Cattie, M.D.
• Giuliana Cattivelli Murdoch, MD
• Cdp3703 Inc
• Center for Family Services
• Center for Family Services
• Center for Family Services, Inc.
• Center for Family Services, Inc.
• Center for Family Services, Inc.

• Family Medicine Physician in Camden, NJ
• Providers in Camden, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.