JONATHAN VICTOR GOLDSTEIN (NPI# 1164574760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164574760 |
| Entity Type | Individual |
| Full Name | JONATHAN VICTOR GOLDSTEIN |
| Credential | MD |
| Practice Address |
77 N Centre Ave Suite 306 Rockville Centre NY 11570-3923 |
| Practice Telephone | 5162645900 |
| Practice Fax Number | 5165949728 |
| Mailing Telephone | 5162645900 |
| Mailing Fax Number | 5165949728 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2010-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 092410 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 0457009011 | 01 | |
| GHI | 23614P | 01 | |
| PHS | OC3104 | 01 | |
| AETNA | 4266128 | 01 | |
| MDNY | AB45739 | 01 | |
| RAILROAD MEDICARE | 020015785 | 01 | |
| BLUE CROSS | 522421 | 01 | |
| ANTHEM | 010092410NY01 | 01 | |
| VYTRA | 6523 | 01 | |
| USHC | 97942 | 01 | |
| NY | 00149028 | 05 | |
| OXFORD | A5398 | 01 | |
| HEALTHNET | OC3104 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1770997652 | Jonathan Goldstein | Radiology | 4802 10th Ave, Brooklyn, NY 11219 | 2014-06-18 |
| 1992060826 | Jonathan S Goldstein | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Family Medicine, Albany, NY 12208-3412 | 2012-07-06 |
| 1285854281 | Jonathan D Goldstein | Obstetrics & Gynecology | 300 Old Country Road, Mineola, NY 11501 | 2007-05-01 |
| 1972639110 | Jonathan William Goldstein | Internal Medicine | 3920 Dutchmans Ln, Suite 300, Louisville, KY 40207-4702 | 2007-02-24 |
| 1396822706 | Jonathan I. Goldstein | Internal Medicine | 2080 Clinton Ave South, Rochester, NY 14618 | 2006-11-01 |
| 1679532287 | Jonathan Edward Goldstein | Specialist | 268 Martin Luther King Jr Blvd, 5th Floor, Newark, NJ 07102-2011 | 2006-03-22 |
| 1821071192 | Jonathan M Goldstein | Psychiatry & Neurology | 535 E 70th St, Department of Neurology, New York, NY 10021-4823 | 2005-11-21 |
| Street Address |
77 N CENTRE AVE SUITE 306 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172547 | Brian Leonard Erlich | Internal Medicine | 77 N Centre Ave, Ste 300, Rockville Centre, NY 11570-3923 | 2005-05-24 |
| 1154688539 | Eugene G. Herman, Dmd, P.C. | Oral & Maxillofacial Surgery | 77 N Centre Ave, Suite 303, Rockville Centre, NY 11570-3923 | 2012-04-23 |
| 1477853018 | Robert A. Cooper, M.d., P.C. | Surgery | 77 N Centre Ave, 306, Rockville Centre, NY 11570-3923 | 2010-10-29 |
| 1801959093 | Joseph Paul Fusco | Dentist | 77 N Centre Ave, Suite 301, Rockville Centre, NY 11570-3923 | 2006-12-18 |
| 1619037520 | Renal Care Associates, PC | Internal Medicine | 77 N Centre Ave, #300, Rockville Centre, NY 11570-3923 | 2006-12-11 |
| 1730298811 | Steven I Friedman | Surgery | 77 N Centre Ave, Suite 207, Rockville Centre, NY 11570-3923 | 2006-08-30 |
| 1912014010 | Eugene George Herman | Oral & Maxillofacial Surgery | 77 N Centre Ave, Ste 303, Rockville Centre, NY 11570-3923 | 2006-08-24 |
| 1023035581 | Nichole Melissa Lopez | Nurse Practitioner | 77 N Centre Ave, #202, Rockville Centre, NY 11570 | 2006-07-17 |
| 1295764140 | Island Medical Pain Management Services PC | Pain Medicine | 77 N Centre Ave, Suite 202, Rockville Centre, NY 11570-3923 | 2006-07-02 |
| 1285613760 | Robert Iadevaio | Anesthesiology | 77 N Centre Ave, Ste 202, Rockville Centre, NY 11570-3923 | 2006-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861660276 | Minimally Invassive Surgical Associates of Long Island | Surgery | 3 Atkinson Rd, Rockville Centre, NY 11570-1102 | 2008-02-19 |
| 1366621898 | Daniel Haller | Surgery | 2000 N Village Ave Ste 211, Rockville Centre, NY 11570-1001 | 2007-11-01 |
| 1891714994 | Mercy Medical Center | Surgery | 1000 N Village Avenue, Rockville Centre, NY 11571 | 2006-07-19 |
| 1144201211 | Stratos George Kantounis | Surgery | 60 Berkshire Rd, Rockville Centre, NY 11570-1614 | 2005-11-07 |
| 1588039119 | Long Island Surgical Pllc | Surgery | 2000 N Village Ave Ste 211, Rockville Centre, NY 11570-1001 | 2015-12-08 |
| 1447597877 | Nicholas Charles Licalzi | Surgery | 17 Andover Rd, Rockville Centre, NY 11570 | 2013-01-04 |
| 1548548225 | Omar Wain | Surgery | 2000 N Village Ave Ste 211, Rockville Centre, NY 11570 | 2011-07-28 |
| 1760798086 | Burton J Glass Md PC | Surgery | 24 Maple Ave, Rockville Centre, NY 11570-4259 | 2010-08-24 |
| 1609907781 | Gs Surgical Associates, PC | Surgery | 30 Hempstead Ave, Suite 144, Rockville Centre, NY 11570-4033 | 2007-03-08 |
| 1831297910 | Erlinda D. Austria | Surgery | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2006-09-20 |
| Find all providers in ROCKVILLE CENTRE | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
Please comment or provide details below to improve the information on JONATHAN VICTOR 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.