Individual provider Active NPI

Divya V Goldstein, MD

  • Cardiovascular Disease Physician
  • Newark, NJ
National Provider Identifier
1891892907
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MAO7871300 Issued in NJ
Practice address
201 Lyons Ave
Suite L-4
Newark, NJ 07112-2027
Phone
(917) 703-7660
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07871300 NJ
Cardiovascular Disease Physician 207RC0000X 225226 NY
Cardiovascular Disease Physician 207RC0000X 25MAO7871300 NJ Primary

Addresses

Primary practice location

201 Lyons Ave
Suite L-4
Newark, NJ 07112-2027

Mailing address

208 Hutton St
Jersey City, NJ 07307-3704
Phone (917) 703-7660

Other identifiers 2

IdentifierTypeStateIssuer
0081566MedicaidNJ
096041OtherNJMEDICARE PTAN

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
I20051122000577 NJ Practitioner - Cardiovascular Disease (Cardiology) 9931165255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

201 Lyons Ave
Newark, NJ 07112-2027

2333 Morris Ave
Suite D113
Union, NJ 07083-5740
Phone (908) 688-2121

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Hospital & facility affiliations

  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024

Merit-based Incentive Payment System (MIPS)

Final score
90.88 of 100Reported as individual
Quality
78.63
Improvement activities
40
Cost
75.35

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07871300NJMDInternal Medicine Physician
25MAO7871300NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Oct 28, 2023 Accepting new patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince May 1, 2021 Accepting new patients
Comprehensive Cardiac Care, LLC CurrentSince Mar 13, 2007 Accepting new patients
Mount Sinai Hospital Past Accepting new patients
The Mount Sinai Hospital Past Accepting new patients
Poplar Bluff Hma Physician Management, LLC Cardiovascular Disease Past Accepting new patients
Allergy and Clinical Immunology Center, P.a. PastSince Oct 9, 2012 Accepting new patients

Locations

350 Engle St
#2
Englewood, NJ 07631
Phone (201) 227-5533

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

201 Lyons Ave
Fl 4
Newark, NJ 07112
Phone (973) 926-7205

201 Lyons Ave
#L2
Newark, NJ 07112
Phone (973) 926-4600

201 Lyons Ave
Ste C6
Newark, NJ 07112
Phone (973) 926-4023

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
Ste L4
Newark, NJ 07112
Phone (973) 926-7205

8100 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 656-4104

2333 Morris Ave
Ste D113
Union, NJ 07083
Phone (908) 688-1330

Interoperability endpoints

  • Direct secure messaging: dgoldstein280164@direct.englewoodhealth.org
  • Direct secure messaging: dgoldstein229327@epicdirect.rwjbh.org
  • Direct secure messaging: divya.bhatia@direct.digidms.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1891892907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HUTTON ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073704",
            "telephone_number": "917-703-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "address_2": "SUITE L-4",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "917-703-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "DIVYA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07871300",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "225226",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MAO7871300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081566",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "096041",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.