JACK D GOLDSTEIN M.D.1208 NPI 1245233261

NPI Information

  • NPI: 1245233261
  • Provider Name: JACK D GOLDSTEIN, M.D.1208
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 400 MASSASOIT AVE
    SUITE 201
    E PROVIDENCE, RI
    ZIP 02914
  • Phone: (401) 919-5222

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NPI Details

Jack D Goldstein, M.D.1208 is an orthopaedic surgery in E Providence, RI. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Jack D Goldstein, M.D.1208 NPI is 1245233261. 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:

400 MASSASOIT AVE
SUITE 201
E PROVIDENCE, RI
ZIP 02914-012
Phone: (401) 919-5222
Fax: (401) 919-5227

The NPI 1245233261 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 5/23/2005 and was last updated on 11/2/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryRI8073RHODE ISLANDYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000022384OTHERRHODE ISLANDRI BLUE CROSS BLUE SHIELD
20900689OTHERPUERTO RICOUNITED HEALTHCARE
315131OTHERRHODE ISLANDNEIGHBORHOOD HEALTH
4200042974OTHERRHODE ISLANDRAILROAD MEDICARE
52797369003OTHERRHODE ISLANDCIGNA
6E38384MEDICARE UPINRHODE ISLAND
79020116MEDICAIDRHODE ISLAND
82432493OTHERRHODE ISLANDAETNA US HEALTHCARE
9202113OTHERRHODE ISLANDRI BLUE CHIP
1061829OTHERRHODE ISLANDHARVARD PILGRIM HEALTH CA
11209022384MEDICARE PINRHODE ISLAND
12779577OTHERRHODE ISLANDTUFTS

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: 11/21/2025

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