Individual provider Active NPI

Stuart Jack Goldman, M.D.

  • Pediatrics Physician
  • Mays Landing, NJ
National Provider Identifier
1841258233
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA53066 Issued in NJ
Practice address
5401 Harding Hwy
Suite 6
Mays Landing, NJ 08330-2243
Phone
(609) 625-8585
Fax
(609) 625-3415
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA53066 NJ Primary

Addresses

Primary practice location

5401 Harding Hwy
Suite 6
Mays Landing, NJ 08330-2243

Mailing address

5401 Harding Hwy
Suite 6
Mays Landing, NJ 08330-2243
Phone (609) 625-8585

Other identifiers 1

IdentifierTypeStateIssuer
0748005MedicaidNJ

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
I20160224000651 NJ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2264737519

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA53066NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics Past Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stuart.goldman@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1841258233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 HARDING HWY",
            "address_2": "SUITE 6",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302243",
            "telephone_number": "609-625-8585",
            "fax_number": "609-625-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 HARDING HWY",
            "address_2": "SUITE 6",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302243",
            "telephone_number": "609-625-8585",
            "fax_number": "609-625-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "STUART",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA53066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0748005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

Verify at the official NPI Registry.