Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAY A GOLDSTEIN, MD LLC
NPI 1912281759
Dermatology in Natick, MA

Active since September 28, 2011
67 UNION ST STE 501, NATICK, MA 01760(508) 655-0525 Get Directions Write a Review

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

Record update history: Oct 7, 2026, May 22, 2025 (2 updates tracked since 2025).

About Jay A Goldstein, Md Llc NPPES

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

JAY A GOLDSTEIN, MD LLC (NPI 1912281759) is a healthcare organization registered as a dermatology in Natick, Massachusetts and active in the NPI registry since September 2011. The organization maintains a secondary practice location in Medway and lists Samuel D Goos, Owner/managing Partner, as its authorized official.

NPPES Registry Identity

NPI1912281759
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJAY A GOLDSTEIN, MD LLC
Location Address67 UNION ST STE 501Natick, MA 01760-7700
Mailing Address526 Main St Ste 302Acton, MA 01720-3310 · (978) 371-7010 · Fax (978) 371-0522
Organization SubpartNo
Authorized OfficialSamuel D GoosOwner/managing Partner · (978) 371-7010
Enumeration DateSeptember 28, 2011
Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1912281759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MA · 39484
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
67 UNION ST STE 501, Natick, MA 01760

Secondary Practice Location 1

Location 174 Main St Unit 16Medway, MA 02053-1822 · Phone (508) 655-0525 · Fax (508) 647-0960

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)

Jay A Goldstein, Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 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
StateMassachusettsEnrollment IDO20120416000010Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Jay A Goldstein, MD LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1639805419
67 UNION ST
Natick, MA 01760
(508) 655-0525
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1851483762
67 UNION ST SUITE 501
Natick, MA 01760
(508) 655-0525
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730021478
67 UNION ST
Natick, MA 01760
(508) 655-0525
✔ PECOSSame address
Nurse Practitioner
NPI 1124856687
95 WASHINGTON ST STE 210
Canton, MA 02021
(781) 713-1200
✔ PECOS✔ Accepts Medicare14 mi

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

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 Jay A Goldstein, MD LLC's NPI number?

The NPI number for Jay A Goldstein, MD LLC is 1912281759. It was assigned to this organization in the NPPES registry on September 28, 2011.

Where is Jay A Goldstein, MD LLC located?

Jay A Goldstein, MD LLC is located at 67 Union St Ste 501, Natick, MA 01760. The listed phone number is (508) 655-0525.

What is Jay A Goldstein, MD LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jay A Goldstein, MD LLC enrolled in Medicare?

Yes. Jay A Goldstein, MD LLC is registered in the Medicare PECOS enrollment system.

When is Jay A Goldstein, MD LLC'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 (Massachusetts, Clinic/Group Practice) is due for revalidation by October 31, 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 Jay A Goldstein, MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Jay A Goldstein, MD LLC. 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 (3) and Dermatology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jay A Goldstein, MD LLC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.