MITCHELL GOLDSTEIN (NPI# 1710947247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710947247 |
| Entity Type | Individual |
| Full Name | MITCHELL GOLDSTEIN |
| Credential | MD |
| Practice Address |
9880 Bustleton Ave Suite 332 Philadelphia PA 19115-2185 |
| Mailing Address |
Po Box 8500-8735 Philadelphia PA 19178-8735 |
| Practice Telephone | 2158271570 |
| Practice Fax Number | 2158271571 |
| Mailing Telephone | 2154567000 |
| Mailing Fax Number | 2152562358 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD074027L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101108164 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770684474 | Mitchell Niles Goldstein | Orthopaedic Surgery | 325 Merrick Ave Ste 3, East Meadow, NY 11554-1556 | 2006-09-26 |
| 1922041060 | Mitchell Reid Goldstein | Pediatrics | 19115 Harnett St, Northridge, CA 91326-3009 | 2006-06-14 |
| 1659335636 | Mitchell Robert Goldstein | Psychiatry & Neurology | 107 N Eddy St, South Bend, IN 46617-2920 | 2006-04-14 |
| 1770576811 | Mitchell Frank Goldstein | Optometrist | 6300 N Federal Hwy, Ft Lauderdale, FL 33308-1906 | 2005-08-24 |
| 1568468445 | Mitchell E Goldstein | Family Medicine | 9970 Central Park Blvd N Ste 400, Boca Raton, FL 33428-2236 | 2005-06-24 |
| 1659867489 | Mitchell Goldstein | Nurse Practitioner | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2018-07-04 |
| 1275780090 | Mitchell Ira Goldstein | Pharmacist | 70 E 161st St, Bronx, NY 10451-2207 | 2008-08-22 |
| 1497773030 | Mitchell B Goldstein | Surgery | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2006-07-18 |
| 1518947084 | Mitchell Goldstein | Pediatrics | 600 N Wolfe St, Johns Hopkins, Baltimore, MD 21205-2101 | 2006-01-19 |
| Street Address |
9880 BUSTLETON AVE SUITE 332 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-2185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356700835 | Pennsylvania Center for Dental Implants and Periodontics, LLC | Dentist | 9880 Bustleton Ave, Suite 211-212, Philadelphia, PA 19115-2185 | 2016-02-12 |
| 1346680519 | Ksenia Smirnov | Nurse Practitioner | 9880 Bustleton Ave, Suite 208, Philadelphia, PA 19115-2185 | 2013-07-02 |
| 1568765857 | Stephen E Band | Dentist | 9880 Bustleton Ave, Philadelphia, PA 19115-2185 | 2010-12-08 |
| 1003129685 | Janna Prater | Internal Medicine | 9880 Bustleton Ave, Suite 220, Philadelphia, PA 19115-2185 | 2010-07-23 |
| 1891010229 | Albert Einstein Medical Center | Pharmacy | 9880 Bustleton Ave, Suite 332, Philadelphia, PA 19115-2185 | 2010-03-29 |
| 1760604755 | Tatyana Shekhterman | Physical Therapist | 9880 Bustleton Ave, Philadelphia, PA 19115-2185 | 2007-05-02 |
| 1467679738 | Jane Mayrin | Internal Medicine | 9880 Bustleton Ave, Ste 220, Philadelphia, PA 19115-2185 | 2007-04-19 |
| 1144306275 | Robert A Levine | Dentist | 9880 Bustleton Ave, Suite 211-212, Philadelphia, PA 19115-2185 | 2006-10-31 |
| 1417031923 | Pennsylvania Center for Dental Implants and Periodontics | Dentist | 9880 Bustleton Ave, #211-212, Philadelphia, PA 19115-2185 | 2006-10-24 |
| 1023110152 | Lisa K. Jablon | Surgery | 9880 Bustleton Ave, Suite 205, Philadelphia, PA 19115-2185 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760947840 | Russell Eugene Kaufman | Internal Medicine | 700 Glengarry Rd, Philadelphia, PA 19118-4111 | 2019-02-04 |
| 1891204921 | Ahmed Mostafa | Internal Medicine | Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 | 2017-09-20 |
| 1780077735 | Arnon I Dreyfuss | Internal Medicine | 239 Delancey St, Philadelphia, PA 19106-4318 | 2015-03-16 |
| 1215240932 | Hayley Michelle Knollman | Internal Medicine | 3400 Civic Center Blvd Fl 10, Philadelphia, PA 19104-5158 | 2010-07-22 |
| 1134455207 | Justine V. Cohen | Internal Medicine | 230 W Washington Sq Fl 2, Philadelphia, PA 19106-3500 | 2009-10-26 |
| 1528393899 | Madiha Atif Gilani | Internal Medicine | 834 Chestnut St., Suit 320, Ben Franklin House, Philadelphia, PA 19107 | 2009-10-05 |
| 1609057660 | Temple Physicians Inc. | Internal Medicine | 7500 Central Ave Ste 110, Philadelphia, PA 19111-2430 | 2007-11-19 |
| 1366500613 | Curtis A Alloy Do PC | Internal Medicine | 2221 S Broad St, Philadelphia, PA 19148 | 2006-12-05 |
| 1326159021 | Rodwige J Desnoyers | Internal Medicine | 925 Chestunut Street, Suite 320a, Philadelphia, PA 19107 | 2006-08-31 |
| 1770514499 | Donna J Glover | Internal Medicine | Two Franklin Town Blvd, Suite #100, Philadelphia, PA 19103 | 2006-07-05 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on MITCHELL GOLDSTEIN.
| 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.