Provider Demographics
NPI:1942635297
Name:GOLDSTEIN, CAREN JILL (APN)
Entity Type:Individual
Prefix:MS
First Name:CAREN
Middle Name:JILL
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:CAREN
Other - Middle Name:JILL
Other - Last Name:POLONSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:215 W END AVE
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1329
Mailing Address - Country:US
Mailing Address - Phone:908-333-4008
Mailing Address - Fax:908-333-4009
Practice Address - Street 1:215 W END AVE
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1329
Practice Address - Country:US
Practice Address - Phone:908-333-4008
Practice Address - Fax:908-333-4009
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00457800364SP0807X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent