Taylors Mills Family Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA61632 Issued in NJ

Legal business name

TAYLORS MILLS FAMILY MEDICAL PC

Practice address

224 Taylors Mills Road
Manalapan, NJ 07726

Phone

(732) 577-1066

Fax

(732) 577-0049

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Goldberg, M.D.NPI 1952371734

Title

Physician

Phone

(732) 577-1066

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Goldberg, M.D.

  • Family Medicine Physician
  • Manalapan, NJ
  • NPI 1952371734
  NPD Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1043348865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 AMAGANSETT DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511182",
            "telephone_number": "732-995-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TAYLORS MILLS ROAD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-577-1066",
            "fax_number": "732-577-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORS MILLS FAMILY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-577-1066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA61632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9017003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shannon Tellier, PHARMD
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• Family Medicine Physician in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.