DR. MICHAEL KEITH GOULSTON M.D., D.M.D.
NPI 1992957203
Dentist - Oral and Maxillofacial Surgery in South Plainfield, NJ

Active since October 17, 2008Opted out of Medicare · through Oct 6, 2026
295 DURHAM AVE, SUITE 213, SOUTH PLAINFIELD, NJ 07080(908) 222-0040(908) 222-0041 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Keith Goulston M.d., D.m.d. NPPES

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

DR. MICHAEL KEITH GOULSTON M.D., D.M.D. (NPI 1992957203) is an individual oral and maxillofacial surgery provider in South Plainfield, New Jersey, licensed in Pennsylvania (DS037951) and active in the NPI registry since October 2008. He has opted out of Medicare through October 6, 2026.

NPPES Registry Identity

NPI1992957203
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL KEITH GOULSTONCredential: M.D., D.M.D.
Location Address295 DURHAM AVE, SUITE 213South Plainfield, NJ 07080-2548
Mailing Address295 Durham Ave, Suite 213South Plainfield, NJ 07080-2548 · (908) 222-0040 · Fax (908) 222-0041
Fax(908) 222-0041
Sole ProprietorYes
Enumeration DateOctober 17, 2008
Last NPPES UpdateNovember 18, 2014
NPI 1992957203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in PA · DS037951 Licensed in NY · 050810 Licensed in NJ · 22D102509200
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
295 DURHAM AVE, South Plainfield, NJ 07080

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Michael Keith Goulston M.d., D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 6, 2022 through October 6, 2026.

Opt-Out Effective DateOctober 6, 2022
Opt-Out In Effect ThroughOctober 6, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Clinic/Center (Oral and Maxillofacial Surgery)
295 DURHAM AVE, SUITE 213
SOUTH PLAINFIELD, NJ 07080

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 Michael Goulston's NPI number?

The NPI number for Michael Goulston is 1992957203. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Where is Michael Goulston located?

Michael Goulston practices at 295 Durham Ave Suite 213, South Plainfield, NJ 07080. The listed phone number is (908) 222-0040.

What is Michael Goulston's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Goulston enrolled in Medicare?

No. Michael Goulston has opted out of Medicare through October 6, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Michael Goulston accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Michael Goulston 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 Michael Goulston was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.