Active NPIIndividual provider

Jack Goldstein, MD

Internal Medicine, Gastroenterology in Willingboro, New Jersey

NPI Number1114929858
Practice location
218C Sunset RD, Willingboro, NJ 08046-1104
Fax
609-877-1682
Last updated
May 13, 2019

Jack Goldstein is an Internal Medicine, Gastroenterology based in Willingboro, NJ. Jack Goldstein practices in Willingboro, NJ and has the professional credentials of MD. The NPI Number for Jack Goldstein is 1114929858 and holds a License No. 25MA03701800 (NJ). The current practice location address for Jack Goldstein is 218C Sunset RD, Willingboro, NJ 08046-1104 and can be reached out via phone at 609-877-0400 and via fax at 609-877-1682.

Provider Profile Details

NPI Number
1114929858
Provider Name
Jack Goldstein
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
218C Sunset RD, Willingboro, NJ 08046-1104
Phone Number
609-877-0400
Fax Number
609-877-1682
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2005
Last Update Date
May 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
218C Sunset RD
Willingboro, NJ 08046-1104
Zip
08046-1104
Phone Number
609-877-0400
Fax Number
609-877-1682
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
1 Federal St # 200
Camden, NJ 08103-1088
City
Camden
State
NJ
Zip
08103-1088
Phone Number
856-356-4924

License Information

License Number (1)
25MA03701800
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA03701800
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jack Goldstein, MD?

The NPI number of Jack Goldstein, MD is 1114929858. It was assigned on August 12, 2005 and is currently active in the NPPES registry.

What is the specialty of Jack Goldstein, MD?

Jack Goldstein, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA03701800.

Where does Jack Goldstein, MD practice?

The practice location is 218C Sunset RD, Willingboro, NJ 08046-1104. The office can be reached at 609-877-0400 (phone) or 609-877-1682 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114929858 directly on the NPPES registry website.

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