| Marc Goldstein | |
|
8100 Kennedy Blvd North Bergen NJ 07047-4254 | |
| (201) 866-6770 | |
| (201) 866-6771 |
| Full Name | Marc Goldstein |
|---|---|
| Speciality | Internal Medicine |
| Location | 8100 Kennedy Blvd, North Bergen, New Jersey |
| Authorized Official Name and Position | Marc Goldstein (DOCTOR) |
| Authorized Official Contact | 2018666770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Goldstein 8100 Kennedy Blvd North Bergen NJ 07047-4254 Ph: (201) 866-6770 | Marc Goldstein 8100 Kennedy Blvd North Bergen NJ 07047-4254 Ph: (201) 866-6770 |
| NPI Number | 1558347583 |
|---|---|
| Provider Enumeration Date | 12/21/2005 |
| Last Update Date | 12/07/2009 |
| Medicare PECOS PAC ID | 2264419217 |
|---|---|
| Medicare Enrollment ID | O20040707000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558347583 | NPI | - | NPPES |
| 2254808 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Marc Goldstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770569568 PECOS PAC ID: 9931186152 Enrollment ID: I20040706000537 |
| Provider Name | Marcia M Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780790568 PECOS PAC ID: 3072537968 Enrollment ID: I20060118000696 |
| Provider Name | Elizabeth Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467788703 PECOS PAC ID: 2365631199 Enrollment ID: I20110111000100 |
| Provider Name | Biljana Scopulovic-nikolic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508029042 PECOS PAC ID: 5092985093 Enrollment ID: I20131226000628 |
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