Andrew Ian Goldstein, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI018879 Issued in NJ

Practice address

711 Avenue C
Bayonne, NJ 07002-2806

Phone

(201) 437-3500

Fax

(201) 437-3724

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Seidman,Cohen,Herman,Normane,PA

  • Dentist
  • Bayonne, NJ
  • NPI 1356553556
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881755395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022806",
            "telephone_number": "201-437-3500",
            "fax_number": "201-437-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022806",
            "telephone_number": "201-437-3500",
            "fax_number": "201-437-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "ANDREW",
        "middle_name": "IAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI018879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Gironda, RPH, CCP
• P. David Gleaner, DMD
• Goldberg Spine Institute, LLC
• Mary Golden, RN
• Gerald Alan Goldman, MD
• Robin Debra Golson, PSY.D.
• Charles Peter Gonzales, DC
• Michael Anthony Gonzales, CHIROPRACTOR
• Genesis Gonzalez, PSYD
• Nikita Goradia, DMD

• General Practice Dentistry in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.