Goldstein, Michael Jason

Goldstein, Michael Jason is an sole proprietor health care provider with primary practice located at 20 Prospect Ave Suite 404, Hackensack NJ 07601-1997. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Goldstein, Michael Jason can be contacted via phone (551) 996-2608.

Contact Information

Primary practice address
20 Prospect Ave Suite 404 Hackensack NJ 07601-1997
Phone: (551) 996-2608
Fax: (551) 996-0826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 25MA09997500 New Jersey
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 216102 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 216102 New York

Profile Details

NPI number 1962426601
LBN Legal business name Goldstein, Michael Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated May 11th, 2017 - about 7 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 1962426601 NPPES
New York MEDICAID 02578334

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