NPIMap

Organization Active NPI

South Plainfield Primary Care

  • Internal Medicine Physician
  • South Plainfield, NJ
National Provider Identifier
1003847906
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTH PLAINFIELD PRIMARY CARE
Practice address
2509 Park Ave
Suite#1a
South Plainfield, NJ 07080-5300
Phone
(908) 756-7200
NPI assigned
Jul 6, 2006
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Madhu GoyalNPI 1538102413
Title
Manager
Phone
(908) 748-4480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

2509 Park Ave
Suite#1a
South Plainfield, NJ 07080-5300

Mailing address

2509 Park Ave Ste 1a
South Plainfield, NJ 07080-5300
Phone (908) 748-4480

Other identifiers 1

IdentifierTypeStateIssuer
1D0151696MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060227000011 NJ Part B Supplier - Clinic/Group Practice 8820004047 Receives reassigned benefits from 7 practitioners
Practice locations: Perth Amboy, NJ; South Plainfield, NJ

National Provider Directory

National Provider Directory

Locations

1810 Park Ave
South Plainfield, NJ 07080
Phone (908) 226-1810

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1003847906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 PARK AVE STE 1A",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805300",
            "telephone_number": "908-748-4480",
            "fax_number": "908-561-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 PARK AVE",
            "address_2": "SUITE#1A",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805300",
            "telephone_number": "908-756-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PLAINFIELD PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "MADHU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-748-4480"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1D0151696",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.