Organization Active NPI

Abe Goldstein, MD PC

  • General Acute Care Hospital
  • Phoenix, AZ
National Provider Identifier
1881800464
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10160 Issued in AZ
Legal business name
ABE GOLDSTEIN, MD PC
Practice address
2525 W Beryl Ave
Phoenix, AZ 85021-1606
Phone
(602) 467-4756
Fax
(602) 371-4960
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Abe Goldstein, MD
Title
President
Phone
(602) 439-6780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10160 AZ Primary

Addresses

Primary practice location

2525 W Beryl Ave
Phoenix, AZ 85021-1606

Mailing address

2525 W Beryl Ave
Phoenix, AZ 85021-1606
Phone (602) 467-4756

Other identifiers 2

IdentifierTypeStateIssuer
1457444937OtherAZNPI
1881800464OtherAZNPI GROUP

National Provider Directory

National Provider Directory

Locations

6501 N 19th Ave
Spc Hosp
Phoenix, AZ 85015
Phone (602) 795-6020

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1881800464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W BERYL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850211606",
            "telephone_number": "602-467-4756",
            "fax_number": "602-371-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W BERYL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850211606",
            "telephone_number": "602-467-4756",
            "fax_number": "602-371-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABE GOLDSTEIN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-439-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "10160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457444937",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1881800464",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.