Active NPI
Joel P Goldfarb, M.D.
- Gastroenterology Physician
- Teaneck, NJ
National Provider Identifier
1093788986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MA44105
- Practice address
- 1086 Teaneck Rd
Suite 4C
Teaneck, NJ 07666-4854 - Phone
- (201) 837-9449
- Fax
- (201) 578-1699
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA04410500 | NJ | |
| Gastroenterology Physician | 207RG0100X | MA44105 | NJ | Primary |
Addresses
Primary practice location
1086 Teaneck Rd
Suite 4C
Teaneck, NJ 07666-4854
Mailing address
1086 Teaneck Rd
Suite 4C
Teaneck, NJ 07666-4854
Phone (201) 837-9449
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110046719 | Other | NJ | RAILROAD MEDICARE |
| 00643958 | Medicaid | NY | |
| 0148407 | Medicaid | NJ | |
| BS467 | Other | NJ | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA44105 | NJ | MD | Gastroenterology Physician |
Interoperability endpoints
- jgoldfarb@pgsmp.ssdirect.aprima.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1093788986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 TEANECK RD",
"address_2": "SUITE 4C",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664854",
"telephone_number": "201-837-9449",
"fax_number": "201-578-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 TEANECK RD",
"address_2": "SUITE 4C",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664854",
"telephone_number": "201-837-9449",
"fax_number": "201-578-1699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDFARB",
"first_name": "JOEL",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA04410500",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "MA44105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110046719",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00643958",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0148407",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "BS467",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.