MEDICARE: JACKI GOLDSTEIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	026132	CT

General Provider Information

NPI Number	:	1912452020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACKI GOLDSTEIN M.D.

Provider Business Mailing Address
First Line	:	40 OLD FARMS RD
Second Line	:
City	:	SOUTH GLASTONBURY
State	:	CT
Zip	:	06073-3714
Country	:	US
Telephone Number	:	860-833-5732
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 OLD FARMS RD
Second Line	:
City	:	SOUTH GLASTONBURY
State	:	CT
Zip	:	06073-3714
Country	:	US
Telephone Number	:	860-833-5732
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2016
Last Update Date	:	08/18/2016

Similar Medicare Providers

1922019413 — GENESIS PHARMACY INC
Practice Location Address:

1611 SPENCER HWY STE F
SOUTH HOUSTON, TX
77587-3714

Practice Phone: 832-925-8797
Practice Fax: 832-925-8782

1174672703 — MS. FANG YU GREENBERG L.AC.
Practice Location Address:

311 LINDEN AVE
SOUTH SAN FRANCISCO, CA
94080-3714

Practice Phone: 650-588-5685
Practice Fax: 650-588-5690

1356573117 — LINDSAY POWELL LOMBARDO D.O.
Practice Location Address:

1008 SOUTH SPRING AVE , SLUCARE ACADEMIC PAVILLION, 1ST FLOOR
SAINT LOUIS, MO
63110-3714

Practice Phone: 314-977-3470
Practice Fax: 314-977-1642

1003191891 — NAZLI SIDDIQUI PHARM D.
Practice Location Address:

2506 FIELDS SOUTH DR APT 201
CHAMPAIGN, IL
61822-3714

Practice Phone: 217-607-2522
Practice Fax:

1528308863 — MISS DAWN MARIE EINFELDT OTA6429
Practice Location Address:

1430 ISLAND DR S , APT/SUITE
SOUTH PASADENA, FL
33707-3714

Practice Phone: 727-560-4624
Practice Fax:

1972099414 — MR. ANDREW SPENCER VITALE LMSW
Practice Location Address:

12314 149TH AVE
SOUTH OZONE PARK, NY
11420-3714

Practice Phone: 347-784-2867
Practice Fax:

Directions to “ JACKI GOLDSTEIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.