Goldstein, Jonathan Edward

Goldstein, Jonathan Edward is an sole proprietor health care provider with primary practice located at 268 Martin Luther King Jr Blvd 5Th Floor, Newark NJ 07102-2011. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Goldstein, Jonathan Edward can be contacted via phone (973) 877-5463.

Contact Information

Primary practice address
268 Martin Luther King Jr Blvd 5Th Floor Newark NJ 07102-2011
Phone: (973) 877-5463
Fax: (973) 877-2567
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA39764 New Jersey
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 68488 Wisconsin

Profile Details

NPI number 1679532287
LBN Legal business name Goldstein, Jonathan Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2006
Last updated Sep 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679532287 NPPES
New Jersey MEDICAID 1512404

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