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DR. MARK ALLAN GOLDSTEIN MD NPI 1588654602


NPI Information

NPI: 1588654602
Provider Name: DR. MARK ALLAN GOLDSTEIN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
55 FRUIT ST
YAW 6C PEDIATRIC GROUP PRACTICE
BOSTON, MA
ZIP 02114
Phone: (617) 726-2730
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DR. Mark Allan Goldstein, MD is a pediatrics in Boston, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Mark Allan Goldstein, MD NPI is 1588654602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT ST
YAW 6C PEDIATRIC GROUP PRACTICE
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-2730
Fax: (617) 724-3948

The NPI 1588654602 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/28/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics37840MASSACHUSETTSYes
22080A0000XPediatricsAdolescent Medicine37840MASSACHUSETTSX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1037840OTHERMASSACHUSETTSTUFTS HEALTH PLAN
2E02019MEDICARE UPIN
3C04787OTHERMASSACHUSETTSBCBS MA
42062267MEDICAIDMASSACHUSETTS
5C04787MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.