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PROF. ERIC JONATHAN GOLDLUST M.D. PH.D. NPI 1578681391


NPI Information

NPI: 1578681391
Provider Name: PROF. ERIC JONATHAN GOLDLUST, M.D., PH.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903
Phone: (401) 519-1604
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PROF. Eric Jonathan Goldlust, M.D., PH.D. is an emergency medicine in Providence, RI. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. PROF. Eric Jonathan Goldlust, M.D., PH.D. NPI is 1578681391. 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:

593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 519-1604
Fax: (401) 272-0538

The NPI 1578681391 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 3/27/2007 and was last updated on 1/14/2022.


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
1390200000XStudent in an Organized Health Care Education/Training Program4301083569MICHIGANNo
2207P00000XEmergency MedicineMD12635RHODE 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EG72322MEDICAIDRHODE ISLAND
2007061003OTHERRHODE ISLANDRI MEDICARE
3P00711112OTHERRHODE ISLANDRAILROAD MEDICARE
409/30/2008OTHERRHODE ISLANDBCBS
510302008OTHERRHODE ISLANDNHPRI
62157454MEDICAIDMASSACHUSETTS
712292008OTHERMASSACHUSETTSTUFTS
8939025129OTHERRHODE ISLANDRI MEDICARE GROUP NPI
904/15/2009OTHERRHODE ISLANDUNITED HEALTHCARE

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: 11/14/2023

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.