KENNETH A GOLDSTEIN (NPI# 1164504320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164504320 |
| Entity Type | Individual |
| Full Name | KENNETH A GOLDSTEIN |
| Credential | MD |
| Practice Address |
Eastern Vascular Assoc 3219 East Tremont Avenue Bronx NY 10461 |
| Mailing Address |
3219 E Tremont Ave Bronx NY 10461-5751 |
| Practice Telephone | 7187928115 |
| Mailing Telephone | 7187928115 |
| Mailing Fax Number | 7187922652 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
230294 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861571416 | Kenneth Stephen Goldstein | Psychologist | 2301 Se Browning Rd, Evansville, IN 47725-9046 | 2006-11-03 |
| 1376659979 | Kenneth Goldstein | Specialist | 6212 Robinwood Rd, Bethesda, MD 20817-6115 | 2006-08-23 |
| 1770588733 | Kenneth H Goldstein | Internal Medicine | 2161 Kingsley Ave., Suite 200, Orange Park, FL 32073 | 2005-06-16 |
| 1699801423 | Kenneth Philip Goldstein | Dentist | 840 Church St Ne, Bld D Ste1, Marietta, GA 30060-8936 | 2007-02-26 |
| 1659473239 | Kenneth Brian Goldstein | Internal Medicine | 1000 Birchfield Drive, Suite 1004, Mt. Laurel, NJ 08054 | 2006-09-02 |
| 1194784116 | Kenneth Todd Goldstein | Podiatrist | 6325 Main St, Suite 200, Williamsville, NY 14221-5822 | 2006-03-20 |
| Street Address |
EASTERN VASCULAR ASSOC 3219 EAST TREMONT AVENUE |
| City | BRONX |
| State | NY |
| Zip Code | 10461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1124524970 | Fordham Professional Medical Services of New York LLC | Surgery | 11 E Fordham Rd Ste A, Bronx, NY 10468-5406 | 2018-04-02 |
| 1205332905 | Fordham Medical of New York LLC | Surgery | 11 E Fordham Rd Ste B, Bronx, NY 10468-5406 | 2018-04-02 |
| 1366956260 | Foxhurst Professional Medical Services of New York LLC | Surgery | 947 Southern Blvd Ste A, Bronx, NY 10459-3401 | 2017-11-30 |
| 1063926962 | Pelham Pkwy Professional Medical Services of New York LLC | Surgery | 2157 White Plains Rd Ste A, Bronx, NY 10462 | 2017-11-30 |
| 1457873234 | Mott Haven Medical of New York LLC | Surgery | 384 E 149th St Ste 201, Bronx, NY 10455-3908 | 2017-07-12 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1861649055 | Anoushiravan Amini Hadjibashi | Surgery | 3400 Bainbridge Ave # 4311, Bronx, NY 10467-2404 | 2008-08-19 |
| 1588733232 | Teruo Hirose | Surgery | 5830 Tyndall Ave, Bronx, NY 10471-2108 | 2006-11-07 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.