Healthcare Provider Details

I. General information

NPI: 1063833598
Provider Name (Legal Business Name): JEFFREY GOLDSTEIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2013
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 MILLBURN AVE
SHORT HILLS NJ
07078-2508
US

IV. Provider business mailing address

514 MILLBURN AVE
SHORT HILLS NJ
07078-2508
US

V. Phone/Fax

Practice location:
  • Phone: 908-376-9244
  • Fax:
Mailing address:
  • Phone: 908-376-9244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number035858
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: