Active NPIIndividual providerSole proprietor

Craig R Goldstein, DOMD

Internal Medicine, Nephrology in West Orange, New Jersey

NPI Number1700973203
Practice location
111 Northfield Ave, Suite 311, West Orange, NJ 07052
Fax
—
Last updated
March 7, 2012

Craig Russell Goldstein is an Internal Medicine, Nephrology based in West Orange, NJ. Craig Russell Goldstein practices in West Orange, NJ and has the professional credentials of DOMD. The NPI Number for Craig Russell Goldstein is 1700973203 and holds a License No. 25MB07799900 (NJ). The current practice location address for Craig Russell Goldstein is 111 Northfield Ave, Suite 311, West Orange, NJ 07052 and can be reached out via phone at 973-325-2103.

Provider Profile Details

NPI Number
1700973203
Provider Name
Craig Russell Goldstein
Credential
DOMD
Provider Entity Type
Individual
Gender
Male
Address
111 Northfield Ave, Suite 311, West Orange, NJ 07052
Phone Number
973-325-2103
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Sole Proprietor
Yes
Provider Enumeration Date
October 6, 2006
Last Update Date
March 7, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Northfield Ave
Suite 311
West Orange, NJ 07052
Zip
07052
Phone Number
973-325-2103
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
111 Northfield Avenue
Suite 311
West Orange, NJ 07052
City
West Orange
State
NJ
Zip
07052
Phone Number
973-325-2103
Fax Number
973-325-2254

License Information

License Number
25MB07799900
License State
NJ
Taxonomy
Internal Medicine, Nephrology · 207RN0300X · 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 Craig R Goldstein, DOMD?

The NPI number of Craig R Goldstein, DOMD is 1700973203. It was assigned on October 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Craig R Goldstein, DOMD?

Craig R Goldstein, DOMD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in NJ under license number 25MB07799900.

Where does Craig R Goldstein, DOMD practice?

The practice location is 111 Northfield Ave, Suite 311, West Orange, NJ 07052. The office can be reached at 973-325-2103 (phone).

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 1700973203 directly on the NPPES registry website.

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