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

Q: What is Jack Goldstein's NPI number?

The NPI number for Jack Goldstein is 1114929858. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Q: What is Jack Goldstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Jack Goldstein was last updated on May 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment

81.71/100

CMS Quality Rating

218C SUNSET RD, WILLINGBORO, NJ 08046(609) 877-0400(609) 877-1682 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jack Goldstein M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK GOLDSTEIN M.D. (NPI 1114929858) is an individual gastroenterology provider in Willingboro, New Jersey, licensed in New Jersey (25MA03701800) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Hahnemann University College Of Medicine (1977).

NPPES Registry Identity

NPI1114929858

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJACK GOLDSTEINCredential: M.D.

Location Address218C SUNSET RDWillingboro, NJ 08046-1104

Mailing Address1 Federal St # 200Camden, NJ 08103-1088 · (856) 356-4924

Phone(609) 877-0400

Fax(609) 877-1682

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1977

Enumeration DateAugust 12, 2005

Last NPPES UpdateMay 13, 2019

✔ NPI 1114929858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NJ · 25MA03701800

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA03701800 (NJ)

218C SUNSET RD, Willingboro, NJ 08046

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Other Identifiers 9

Other3818454NJ · Aetna

Medicaid1998200NJ

Other21420NJ · Univerisity Health Plan

OtherP3641368NJ · Oxford

Other1018864NJ · Cigna

Other183070NJ · Amerihealth Ppo/pa Bs

Other0090492000NJ · Amerihealht/keystone/ Ibc

Other1346033NJ · United Healthcare

Other3K6075NJ · Healthnet, Inc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Goldstein M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547165250

PECOS Enrollment IDI20050429000101

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

162 services124 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

54 services53 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

35 services35 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

34 services34 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooper University Hospital

Acute Care Hospitals · Camden, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310014

Location1 Cooper PlazaCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.07

Promoting Interoperability

100

Improvement Activities

Cost

55.39

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$8.16 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$2.39 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims6,600 services$0.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GREGORY SCOTT LESSER M.D.

Internal Medicine (Gastroenterology)