Individual provider Active NPI

Martin M Goldstein, MD

  • Urology Physician
  • Maywood, NJ
National Provider Identifier
1831162189
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA07060200 Issued in NJ
Practice address
255 W. Spring Valley Ave
Suite 101
Maywood, NJ 07607
Phone
(201) 342-6600
Fax
(201) 342-4222
NPI assigned
Feb 8, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA07060200 NJ Primary

Addresses

Primary practice location

255 W. Spring Valley Ave
Suite 101
Maywood, NJ 07607

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other identifiers 2

IdentifierTypeStateIssuer
8231401MedicaidNJ
D078020OtherNJCDS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mgoldstein10353@njurology.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20091231000040 NJ Practitioner - Urology 8729084165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07060200NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Dec 31, 2021 Accepting new patients
New Jersey Urology LLC Urology CurrentSince Jan 1, 2010 Accepting new patients
Summit Medical Group PA CurrentSince Dec 31, 2021 Accepting new patients
Advanced Ambulatory Anesthesia, LLC Past Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

20 Prospect Ave
Ste 715
Hackensack, NJ 07601
Phone (201) 342-6600

255 W Spring Valley Ave
Ste 101
Maywood, NJ 07607
Phone (201) 487-8866

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

1225 McBride Ave
Woodland Park, NJ 07424
Phone (908) 277-8699

Interoperability endpoints

  • Direct secure messaging: mgoldstein@nj-urology.gwaydirect.com
  • Direct secure messaging: mgoldstein10353@njurology.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831162189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W. SPRING VALLEY AVE",
            "address_2": "SUITE 101",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "07607",
            "telephone_number": "201-342-6600",
            "fax_number": "201-342-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MARTIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA07060200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8231401",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D078020",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mgoldstein10353@njurology.direct-ci.com",
            "affiliation": "N",
            "address_1": "255 W. Spring Valley Ave",
            "address_2": "Suite 101",
            "city": "Maywood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

Verify at the official NPI Registry.