Individual provider Active NPI

Marcy A Goldstein, MD

  • Specialist
  • Paramus, NJ
National Provider Identifier
1942209028
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA05994500 Issued in NJ
Practice address
1 W Ridgewood Ave
Suite # 305
Paramus, NJ 07652-2359
Phone
(201) 445-8786
Fax
(201) 445-8811
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA05994500 NJ
Specialist 174400000X 25MA05994500 NJ Primary

Addresses

Primary practice location

1 W Ridgewood Ave
Suite # 305
Paramus, NJ 07652-2359

Mailing address

1 W Ridgewood Ave
Suite # 305
Paramus, NJ 07652-2359
Phone (201) 445-8786

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
I20100309000262 NJ Practitioner - Dermatology 1759426240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Dermatology LLCGroup PAC ID 5395703573, 46 clinicians

Practice addresses (Care Compare)

1 W Ridgewood Ave
Suite 305
Paramus, NJ 07652-2361
Phone (201) 445-8786

1075 Central Ave
Clark, NJ 07066-1116
Phone (732) 574-1399

175 Cedar LN
Suite a
Teaneck, NJ 07666-4315
Phone (732) 574-1399

363 Grand Ave
Englewood, NJ 07631-4104
Phone (201) 568-6977

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions362
Removal or shaving of skin growth48
Skin biopsy454

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Dermatology LLC Dermatology CurrentSince Dec 29, 2024 Accepting new patients
21St Century Dermatology,LLC Specialist CurrentSince May 4, 2001 Accepting new patients
Clark Dermatology, LLC Dermatology PastSince May 11, 2025 Accepting new patients

Locations

1425 Pompton Ave
Ste 1-1
Cedar Grove, NJ 07009
Phone (973) 785-8686

1075 Central Ave
Clark, NJ 07066
Phone (732) 574-1399

469 Morris Ave
Ste 3
Elizabeth, NJ 07208
Phone (732) 574-1399

400 Franklin Tpke
Ste 208
Mahwah, NJ 07430
Phone (201) 825-0009

1 W Ridgewood Ave
Ste 305
Paramus, NJ 07652
Phone (201) 445-8558

175 Cedar Ln
Ste A
Teaneck, NJ 07666
Phone (201) 692-8354

40 Stirling Rd
Ste 203
Watchung, NJ 07069
Phone (908) 753-4144

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1942209028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "address_2": "SUITE # 305",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-445-8786",
            "fax_number": "201-445-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "address_2": "SUITE # 305",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-445-8786",
            "fax_number": "201-445-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MARCY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA05994500",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05994500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.