Active NPI
Barry J. Goldstein, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Philadelphia, PA
National Provider Identifier
1881608016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD046797L
- Practice address
- 211 S 9TH St
Suite 600
Philadelphia, PA 19107-6810 - Phone
- (215) 955-1925
- Fax
- (215) 928-3160
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD046797L | PA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD046797L | PA | Primary |
Addresses
Primary practice location
211 S 9TH St
Suite 600
Philadelphia, PA 19107-6810
Mailing address
615 Chestnut St
14TH Floor
Philadelphia, PA 19106-4404
Phone (215) 955-1175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7639007 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD046797L | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1881608016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CHESTNUT ST",
"address_2": "14TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064404",
"telephone_number": "215-955-1175",
"fax_number": "215-955-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S 9TH ST",
"address_2": "SUITE 600",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076810",
"telephone_number": "215-955-1925",
"fax_number": "215-928-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "BARRY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD046797L",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD046797L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7639007",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.