Mark Goldstein, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X009637-1 Issued in NY

Practice address

512 Fashion Ave
1404A
New York, NY 10018-4603

Phone

(212) 768-7979

Fax

(212) 768-1223

NPI assigned

Dec 14, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Peak Performance of Union

  dba Tenafly Physical Medicine

  • Chiropractor
  • Tenafly, NJ
  • NPI 1023541802
  Authorized official Same address or phone

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952463200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 THE PROMENADE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202109",
            "telephone_number": "917-533-3197",
            "fax_number": "212-768-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 FASHION AVE",
            "address_2": "1404A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184603",
            "telephone_number": "212-768-7979",
            "fax_number": "212-768-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MARK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X009637-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Marcia Goldstein, LCSW, BCD
• Lindsay Brooke Goldstein, PHARMD
• Lucy Juliane Goldstein, LMSW
• Mara Goldstein, LCSW
• Marc Goldstein, MD
• Martin Goldstein, OPTICIAN
• Martin Goldstein, M.D.
• Martin S Goldstein, MD
• Matthew Goldstein, D.D.S.
• Matthew Goldstein, DO

• Sports Physician Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Sports Physician Chiropractor in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.