Michael E Goldis, D.O.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MB57688 Issued in NJ

Practice address

119 Laurel Rd E
Stratford, NJ 08084-1324

Phone

(856) 346-3469

Fax

(856) 346-9456

NPI assigned

Jul 19, 2005

Reactivated

Apr 3, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Goldis Geriatrics PC

  • Non-Pharmacy Dispensing Site
  • Stratford, NJ
  • NPI 1114381886
  NPD (past) Authorized official
• Apogee Medical Group of Pennsylvania PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1649227166
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1982603247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 LAUREL RD E",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841324",
            "telephone_number": "856-346-3469",
            "fax_number": "856-346-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 LAUREL RD E",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841324",
            "telephone_number": "856-346-3469",
            "fax_number": "856-346-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDIS",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-07-15",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MB57688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6141005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Rose Ginet
• Terrie B Ginsberg, D.O.
• Jana Gjini
• Goldis Geriatrics P.C.
• Goldis Geriatrics PC
• Kalashree Gopal
• Robert Gordon, D.O.
• Janet Ramos Grabo, MPT
• Lynne S Gradinger, M.D.
• Shay Greco

• Geriatric Medicine (Internal Medicine) Physician in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Geriatric Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.