Active NPI
Fredric Howard Goldberg, MD
- Anesthesiology Physician
- Langhorne, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA08301300
- Practice address
- 380 Oxford Valley Rd
Langhorne, PA 19047-8304 - Phone
- (215) 949-5311
- Fax
- (215) 949-5317
- NPI assigned
- Jun 27, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD-042377-L | PA | |
| Pain Medicine Physician | 208VP0000X | MD042377L | PA | |
| Anesthesiology Physician | 207L00000X | 25MA08301300 | NJ | Primary |
Addresses
Primary practice location
380 Oxford Valley Rd
Langhorne, PA 19047-8304
Mailing address
PO Box 8500-6335
Philadelphia, PA 19178-6335
Phone (215) 807-8000
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015119460010 | Medicaid | PA | |
| 30070981 | Other | PA | KEYSTONE MERCY |
| 616889 | Other | PA | AETNA HMO |
| 1511946 | Medicaid | PA | |
| 698885 | Other | PA | HIGHMARK BLUE SHIELD |
| 0534094000 | Other | PA | KEYSTONE IBC |
| P00760072 | Other | PA | RAILROAD MEDICARE |
| 23062MD042377L | Other | PA | HEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone (609) 586-7900
Hospital & facility affiliations
- Robert Wood Johnson University Hospital at Hamilton
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08301300 | NJ | MD | Anesthesiology Physician |
| MD-042377-L | PA | MD | Anesthesiology Physician |
| MD042377L | PA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Healthcare Specialists PC | Anesthesiology | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Anesthesiology | Current | Accepting new patients |
| Liberty Anesthesia Associates, P. C. | Past | Accepting new patients | |
| Lower Bucks Pain Management, P. C. | Anesthesiology | Past | Accepting new patients |
Locations
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Anesthesiology
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Specialist
- Coatesville, PA
- NPI 1972509792
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hamilton, NJ
- NPI 1629069638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1104822857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-6335",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191786335",
"telephone_number": "215-807-8000",
"fax_number": "215-949-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 OXFORD VALLEY RD",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190478304",
"telephone_number": "215-949-5311",
"fax_number": "215-949-5317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "FREDRIC",
"middle_name": "HOWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD-042377-L",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "PA",
"license": "MD042377L",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA08301300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015119460010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30070981",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "616889",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1511946",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "698885",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE IBC",
"identifier": "0534094000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00760072",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "23062MD042377L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.