Individual provider Active NPI

Irwin S Goldstein, MD

  • Urology Physician
  • Philadelphia, PA
National Provider Identifier
1972603694
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD018057E Issued in PA
Practice address
3400 Civic Center Boulevard
West Pavillion, 3Rd Floor
Philadelphia, PA 19104-5127
Phone
(215) 662-2891
Fax
(215) 662-6734
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD018057E PA Primary

Addresses

Primary practice location

3400 Civic Center Boulevard
West Pavillion, 3Rd Floor
Philadelphia, PA 19104-5127

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001
Phone (570) 342-7864

Other practice location 2

25 Monument Rd Ste 190
York, PA 17403-5059
Phone (717) 741-8011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050209000150 PA Practitioner - Urology 5991756728 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Jefferson Medical College of Thomas Jefferson University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

25 Monument Rd
Suite 190
York, PA 17403-5059
Phone (717) 741-8011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD018057EPAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Wayne Memorial Hospital CurrentSince Mar 18, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jul 14, 2025 Accepting new patients
University of Penn - Medical Group CurrentSince May 1, 2015 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Wayne Memorial Hospital Urology CurrentSince Mar 18, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Delta Medix PC CurrentSince Oct 1, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jul 14, 2025 Accepting new patients
Vascular Diagnostic Center PC PastSince Oct 1, 2018 Accepting new patients
Urology Group Inc Urology PastSince Mar 4, 2002 Accepting new patients
Univ of Penn-Urology Urology PastSince Jun 1, 2008 Accepting new patients

Locations

333 E City Ave
Ste IL27
Bala Cynwyd, PA 19004
Phone (610) 664-5156

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1111 Franklin St
Ste 410
Johnstown, PA 15905
Phone (814) 536-7851

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

800 Walnut St
Fl 19
Philadelphia, PA 19107
Phone (215) 829-3409

3400 Civic Center Blvd
Fl 3
Philadelphia, PA 19104
Phone (215) 614-4100

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

300 Lackawanna Ave
Scranton, PA 18503
Phone (570) 342-7864

300 Lackawanna Ave
Ste 200
Scranton, PA 18503
Phone (570) 342-7864

300 Lackawanna Ave
Unit 200
Scranton, PA 18503
Phone (570) 342-7864

5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864

Interoperability endpoints

  • Direct secure messaging: irwin.goldstein.1@30200.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1972603694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BOULEVARD",
            "address_2": "WEST PAVILLION, 3RD FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-662-2891",
            "fax_number": "215-662-6734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Lackawanna Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185032001",
            "country_code": "US",
            "telephone_number": "570-342-7864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035059",
            "country_code": "US",
            "telephone_number": "717-741-8011",
            "fax_number": "717-255-0966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "IRWIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD018057E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.