MARC GOLDSTEIN
NPI 1558347583
Internal Medicine - Geriatric Medicine in North Bergen, NJ

Active since December 21, 2005CLIA 31D2252860 · Waiver
8100 KENNEDY BLVD, NORTH BERGEN, NJ 07047(201) 866-6770(201) 866-6771 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marc Goldstein NPPES

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

MARC GOLDSTEIN (NPI 1558347583) is a healthcare organization registered as a geriatric medicine in North Bergen, New Jersey and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Marc Goldstein, Doctor, as its authorized official.

NPPES Registry Identity

NPI1558347583
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameMARC GOLDSTEIN
Location Address8100 KENNEDY BLVDNorth Bergen, NJ 07047-4254
Mailing Address8100 Kennedy BlvdNorth Bergen, NJ 07047-4254 · (201) 866-6770 · Fax (201) 866-6771
Fax(201) 866-6771
Organization SubpartNo
Authorized OfficialMarc GoldsteinDoctor · (201) 866-6770
Enumeration DateDecember 21, 2005
Last NPPES UpdateDecember 7, 2009
✔ NPI 1558347583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
8100 KENNEDY BLVD, North Bergen, NJ 07047

Other Identifiers 2

Medicare PIN079567NJ
Medicaid2254808NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc Goldstein is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20040707000757Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Marc Goldstein, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Family Practice
NPI 1770569568
8100 KENNEDY BLVD
North Bergen, NJ 07047
(201) 866-6770
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1780790568
8100 KENNEDY BLVD
North Bergen, NJ 07047
(201) 866-6770
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1508029042
8100 KENNEDY BLVD
North Bergen, NJ 07047
(201) 866-6770
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1467788703
6045 KENNEDY BLVD
North Bergen, NJ 07047
(201) 861-4443
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1902473226
859 SUMMIT AVE
Jersey City, NJ 07307
(973) 692-5772
✔ PECOS✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1639651714
97 NEWKIRK ST APT 228-229
Jersey City, NJ 07306
(888) 551-5456
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1336805415
15 17TH AVE
Newark, NJ 07103
(862) 218-5799
✔ PECOS11 mi
Nurse Practitioner
NPI 1609366780
28 VALLEY RD # 148
Montclair, NJ 07042
(973) 559-4600
✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1104632140
171 CENTER RD
Venice, FL 34285
(833) 674-2500
✔ PECOS✔ Accepts Medicare1,061 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2252860

Marc Goldstein · North Bergen, NJ
Active · expires Feb 14, 2028
CLIA Number31D2252860
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorMarc Goldstein
Laboratory Phone(201) 866-6770
Laboratory LocationMarc Goldstein8100 Kennedy Blvd, North Bergen, NJ 07047
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Goldstein's NPI number?

The NPI number for Marc Goldstein is 1558347583. It was assigned to this organization in the NPPES registry on December 21, 2005.

Where is Marc Goldstein located?

Marc Goldstein is located at 8100 Kennedy Blvd, North Bergen, NJ 07047. The listed phone number is (201) 866-6770.

What is Marc Goldstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Marc Goldstein enrolled in Medicare?

Yes. Marc Goldstein is registered in the Medicare PECOS enrollment system.

When is Marc Goldstein's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Marc Goldstein?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Marc Goldstein. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Internal Medicine (3) and Family Practice (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Marc Goldstein hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2252860) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Marc Goldstein accept?

Health plans from Oscar Health list Marc Goldstein as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marc Goldstein was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.