JACK GOLDSTEIN M.D.
NPI 1114929858
Internal Medicine in Willingboro,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 12, 2005

Contact Information

218c Sunset Rd
Willingboro,
Post Code: 08046
Phone: (609) 877-0400
Fax: (609) 877-1682

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Jack Goldstein M.d. in Willingboro - Internal Medicine

Jack Goldstein M.d. is a Internal Medicine in Willingboro, . Jack Goldstein M.d. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jack Goldstein M.d. is 1114929858. The last update date is 2019-05-13.

Jack Goldstein M.d.'s current location address is 218c Sunset Rd, Willingboro, . You can contact this provider via phone number (609) 877-0400 and fax number (609) 877-1682. The mailing address for Jack Goldstein M.d. is 218c Sunset Rd, Willingboro, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114929858
Provider Name
JACK GOLDSTEIN M.D.
Gender
Male
Entity Type
Individual
Location Address
218c Sunset Rd, Willingboro,
Location Phone
(609) 877-0400
Location Fax
(609) 877-1682
Mailing Address
1 Federal St # 200, Camden, New Jersey(NJ)
Mailing Phone
856-356-4924
Mailing Fax
-
Enumeration Date
2005-08-12
Last Update Date
2019-05-13
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine, Gastroenterology

Taxonomy Code
207RG0100X
Type
-
License No.
25MA03701800
License State
New Jersey (NJ)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207R00000X Internal Medicine Physician

Internal Medicine

25MA03701800 (New Jersey)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0090492000 Other (non-Medicare) (01) New Jersey (NJ) Amerihealht/Keystone/ IBC
1018864 Other (non-Medicare) (01) New Jersey (NJ) Cigna
1346033 Other (non-Medicare) (01) New Jersey (NJ) United Healthcare
183070 Other (non-Medicare) (01) New Jersey (NJ) Amerihealth PPO/pA BS
1998200 MEDICAID (05) New Jersey (NJ)
21420 Other (non-Medicare) (01) New Jersey (NJ) Univerisity Health Plan
3818454 Other (non-Medicare) (01) New Jersey (NJ) Aetna
3k6075 Other (non-Medicare) (01) New Jersey (NJ) HealthNet, Inc
P3641368 Other (non-Medicare) (01) New Jersey (NJ) Oxford

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114929858
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212418218810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 212418218810
2 + 1 + 2 + 4 + 1 + 8 + 2 + 1 + 8 + 8 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8 8

The NPI number 1114929858 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114929692 GEORGE TOWERS ROWLAND
Individual
Physical Therapist 121 LEES LN
HADDON TOWNSHIP, New Jersey (NJ)
856-858-8222
1114929635 GEORGE KLAFTER
Individual
Urology 1 DIAMOND HILL RD
BERKELEY HEIGHTS, New Jersey (NJ)
908-273-4300
1114928843 RONALD W KRISTAN
Individual
Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery 300 HIGHWAY 35 STE 200
EATONTOWN, New Jersey (NJ)
732-222-7373
1114928678 TIMOTHY ALVIN BIALECKI
Individual
Chiropractor 276 MAIN ST
METUCHEN, New Jersey (NJ)
732-549-2872
1114928652 DAVID L JOHNSON
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery) 100 MADISON AVE
MORRISTOWN, New Jersey (NJ)
973-971-7300