MARK GOLDSTEIN (NPI# 1679568885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679568885 |
| Entity Type | Individual |
| Full Name | MARK GOLDSTEIN |
| Credential | MD |
| Practice Address |
1478 Victory Blvd Staten Island NY 10301-3915 |
| Practice Telephone | 7184470055 |
| Mailing Telephone | 7184470055 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2012-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
143699 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649216342 | Mark G Goldstein | Internal Medicine | 19735 Germantown Rd Ste 255, Germantown, MD 20874-1219 | 2006-06-21 |
| 1932102357 | Mark A. Goldstein | Internal Medicine | 7505 Osler Dr, Ste 103, Towson, MD 21204-7737 | 2005-05-31 |
| 1144544503 | Mark Charles Goldstein | Pharmacist | 64 Carleton Ave Ste B, Suite B, Islip Terrace, NY 11752-1500 | 2010-03-15 |
| 1598095358 | Mark Charles Goldstein | Specialist | 12845 Pointe Del Mar Way, Suite 200, Del Mar, CA 92014-3862 | 2009-12-30 |
| 1760656631 | Mark Adam Goldstein | Emergency Medicine | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2008-04-22 |
| 1902947484 | Mark J Goldstein | Dermatology | 1 Long Wharf Drive, #30, New Haven, CT 06511-5991 | 2007-02-09 |
| 1376606863 | Mark Joel Goldstein | Psychologist | 820 Las Gallinas Ave, San Rafael, CA 94903-3410 | 2006-12-18 |
| 1952463200 | Mark Goldstein | Chiropractor | 512 Fashion Ave, 1404a, New York, NY 10018-4603 | 2006-12-14 |
| 1396816369 | Mark A. Goldstein | Preventive Medicine | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-13 |
| 1679651210 | Mark Goldstein | Anesthesiology | 921 Gessner Rd, Attn: Anesthesia Dept, Houston, TX 77024-2501 | 2006-11-01 |
| Street Address |
1478 VICTORY BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053306233 | Mark Jarrett | Internal Medicine | 1478 Victory Blvd, Staten Island, NY 10301-3915 | 2005-09-14 |
| 1821442120 | Anna Bryk Nemeth | Podiatrist | 1478 Victory Blvd, Staten Island, NY 10301-3915 | 2016-04-22 |
| 1134465321 | Doctor Stephanie Famulari Podiatrist PC | Podiatrist | 1478 Victory Blvd, Staten Island, NY 10301-3915 | 2012-12-17 |
| 1073842100 | Stephanie Famulari | Podiatrist | 1478 Victory Blvd, Staten Island, NY 10301-3915 | 2009-12-20 |
| 1497993828 | Toni Otway Md PC | Obstetrics & Gynecology | 1478 Victory Blvd, Staten Island, NY 10301-3915 | 2009-01-22 |
| 1023291887 | Anant Kumarie Nischal | Physician Assistant | 1478 Victory Blvd, Staten Island, NY 10301-3915 | 2007-12-14 |
| 1083827463 | Janice Hughes Culley | General Practice | 1478 Victory Blvd, Staten Island, NY 10301-3915 | 2007-05-08 |
| 1477694800 | Staten Island Internal Medicine Assoc PC | Internal Medicine | 1478 Victory Blvd, Staten Island, NY 10301 | 2007-02-09 |
| 1164500302 | Toni M Otway | Obstetrics & Gynecology | 1478 Victory Blvd, Staten Island, NY 10301-3915 | 2006-11-02 |
| 1235101932 | Michael Piccarelli Dpm | Podiatrist | 1478 Victory Blvd, Staten Island, NY 10301-3915 | 2006-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205247137 | Grace Berlin | Internal Medicine | 1551 Richmond Rd Ste 1a, Staten Island, NY 10304-2338 | 2014-05-13 |
| 1528228657 | Melissa Lucy Larusso | Internal Medicine | 82 Lamberts Lane, Staten Island, NY 10314 | 2008-06-12 |
| 1053306233 | Mark Jarrett | Internal Medicine | 1478 Victory Blvd, Staten Island, NY 10301-3915 | 2005-09-14 |
| 1720072481 | Donna Acquafredda | Internal Medicine | 1534 Victory Blvd, Staten Island, NY 10314-3548 | 2005-09-08 |
| 1891173696 | Hamead Moshrefi | Internal Medicine | 1551 Richmond Rd Ste 1a, Staten Island, NY 10304-2338 | 2015-05-12 |
| 1083905137 | Irina Litvin | Internal Medicine | 1534 Victory Blvd, Staten Island, NY 10314-3548 | 2011-04-25 |
| 1922261460 | Joseph Mosak | Internal Medicine | 1534 Victory Blvd, Staten Island, NY 10314-3548 | 2008-07-03 |
| 1003900622 | Felicia Tenedios-karanikolas | Internal Medicine | 1534 Victory Blvd, Staten Island, NY 10314-3548 | 2006-10-03 |
| 1184722548 | Elena Sanders | Internal Medicine | 400 Seaview Ave, Staten Island, NY 10305-2216 | 2006-09-20 |
| 1386755817 | Peggy Ann Garjian | Internal Medicine | 71 Todt Hill Rd, Ste 201, Staten Island, NY 10314-4534 | 2006-08-31 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
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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.