# JACK D GOLDSTEIN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245233261
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | RI8073 | RI | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 09/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000022384 | RI BLUE CROSS BLUE SHIELD | RI |
| 01 | — | 0900689 | UNITED HEALTHCARE | PR |
| 01 | — | 15131 | NEIGHBORHOOD HEALTH | RI |
| 01 | — | 200042974 | RAILROAD MEDICARE | RI |
| 01 | — | 202113 | RI BLUE CHIP | RI |
| 01 | — | 2432493 | AETNA US HEALTHCARE | RI |
| 01 | — | 2797369003 | CIGNA | RI |
| 01 | — | 61829 | HARVARD PILGRIM HEALTH CA | RI |
| 01 | — | 779577 | TUFTS | RI |
| 05 | — | 9020116 | — | RI |