Jack Goldstein (NPI# 1114929858, PAC ID# 0547165250) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1114929858 |
| PAC ID by PECOS | 0547165250 |
| Professional Enrollment ID | I20050429000101 |
| Full Name | Jack Goldstein |
| Organization Legal Name | CMC DEPARTMENT OF MEDICINE GROUP PA |
| Address |
501 Fellowship Rd Suite 101 Mount Laurel NJ 08054-3419 |
| Phone Number | 8566422133 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 2163335878 |
| Number of Group Practice Members | 200 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310014 | COOPER UNIVERSITY HOSPITAL |
| 310061 | LOURDES MEDICAL CENTER OF BURLINGTON COUNTY |
| 310057 | VIRTUA MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Cooper Plz, Camden, NJ 08103-1461 | CMC DEPARTMENT OF MEDICINE GROUP PA | |
| 1 Cooper Plz, 2nd, Camden, NJ 08103-1461 | 8563422535 | CMC DEPARTMENT OF MEDICINE GROUP PA |
| 501 Fellowship Rd, Suite 101, Mount Laurel, NJ 08054-3419 | 8566422133 | CMC DEPARTMENT OF MEDICINE GROUP PA |
| Organization Legal Name | CMC DEPARTMENT OF MEDICINE GROUP PA |
| Physicians | 205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Ernest Siegler | Neurology | Cmc Department of Medicine Group Pa | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 |
| Ashley Decker | Dermatology | Cmc Department of Medicine Group Pa | 1000 Sagemore Dr, Marlton, NJ 08053-4301 |
| Colleen Brown | Physician Assistant | Cmc Department of Medicine Group Pa | 900 Centennial Blvd M, Voorhees, NJ 08043-4637 |
| Alice Mulorz | Nurse Practitioner | Cmc Department of Medicine Group Pa | 1000 Rev Dr Martin Luther King Jr Dr C, Willingboro, NJ 08046-2852 |
| Jessica L Bryson | Physician Assistant | Cmc Department of Medicine Group Pa | 196 Grove Ave C, West Deptford, NJ 08086-2139 |
| Thomas R Mirsen | Neurology | Cmc Department of Medicine Group Pa | Bnkr Hl Plz, Suite 103, Sewell, NJ 08080 |
| Amy Colcher | Neurology | Cmc Department of Medicine Group Pa | 3740 W Chester Pike, Newtown Square, PA 19073-3223 |
| Stephen M Akers | Pulmonary Disease | Cmc Department of Medicine Group Pa | 218 Sunset Rd C, Willingboro, NJ 08046-1110 |
| Kevin J Callahan | Hematology/oncology | Cmc Department of Medicine Group Pa | 2 Cooper Plz, Camden, NJ 08103-1461 |
| Donna J Hogue | Pulmonary Disease | Cmc Department of Medicine Group Pa | 900 Centennial Blvd K, Voorhees, NJ 08043-4637 |
| Street Address |
501 FELLOWSHIP RD SUITE 101 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip | 08054-3419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Hoess | Certified Registered Nurse Anesthetist (crna) | Cooper Anesthesia Associates PC | 501 Fellowship Rd, Suite 102, Mount Laurel, NJ 08054-3419 |
| Dejan Vuckovic | Anesthesiology | Cooper Anesthesia Associates PC | 501 Fellowship Rd, Suite 102, Mount Laurel, NJ 08054-3419 |
| Theresa Murray | Certified Registered Nurse Anesthetist (crna) | Cooper Anesthesia Associates PC | 501 Fellowship Rd, Suite 102, Mount Laurel, NJ 08054-3419 |
| Kelly A Bolkus | Anesthesiology | Cooper Anesthesia Associates PC | 501 Fellowship Rd, Suite 102, Mount Laurel, NJ 08054-3419 |
| Joshua Peter Desipio | Gastroenterology | Cmc Department of Medicine Group Pa | 501 Fellowship Rd, Suite 101, Mount Laurel, NJ 08054-3419 |
| Matthugh Bennett | Certified Registered Nurse Anesthetist (crna) | Cooper Anesthesia Associates PC | 501 Fellowship Rd, Suite 102, Mount Laurel, NJ 08054-3419 |
| Tara L Lautenslager | Gastroenterology | Cmc Department of Medicine Group Pa | 501 Fellowship Rd, Suite 101, Mount Laurel, NJ 08054-3419 |
| Kimberly A Young | Nurse Practitioner | Cmc Department of Medicine Group Pa | 501 Fellowship Rd, Suite 101, Mount Laurel, NJ 08054-3419 |
| William Edward Marion | Anesthesiology | Cooper Anesthesia Associates PC | 501 Fellowship Rd, Suite 102, Mount Laurel, NJ 08054-3419 |
| Cristina Capanescu | Gastroenterology | Cmc Department of Medicine Group Pa | 501 Fellowship Rd, Suite 101, Mount Laurel, NJ 08054-3419 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Testaiuti | Neurosurgery | Coastal Spine PC | 715 Fellowship Rd, Suite A, Mount Laurel, NJ 08054-1052 |
| Rosalie Marinari | Dermatology | Dermatology Associates of South Jersey, L.L.C. | 715 Fellowship Rd, Suite B, Mount Laurel, NJ 08054-1052 |
| Adrienne Lauren Rinaldi | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ashley M Roncone | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Addison Haskins | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Russell Abrams | Neurology | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Peter G Pryzbylkowski | Pain Management | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ijeoma C Menkiti | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Kyriaki Revenidis | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Yohan Lee | Chiropractic | 3829 Church Rd, Suite B, Mount Laurel, NJ 08054-1105 | |
| Find all physicians in zip 08054 | |||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | MOUNT LAUREL + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Jack Goldstein.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.