NPIMap

Individual provider Active NPI

Jeffrey P Goldman, MD

  • Diagnostic Radiology Physician
  • Tenafly, NJ
National Provider Identifier
1114004009
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
206900-1 Issued in NY
Practice address
2 Dogwood LN
Tenafly, NJ 07670-1103
Phone
(201) 568-1595
NPI assigned
Nov 1, 2006
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 206900-1 NY Primary

Addresses

Primary practice location

2 Dogwood LN
Tenafly, NJ 07670-1103

Mailing address

2 Dogwood Lane
Tenafly, NJ 07670
Phone (201) 568-1595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071214000008 NJ Practitioner - Diagnostic Radiology 7517061419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Stanford University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peace Health Partners, PCGroup PAC ID 6709776222, 33 clinicians

Practice addresses (Care Compare)

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
206900-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine Diagnostic Radiology Current Accepting new patients
Peace Health Partners, PC Diagnostic Radiology CurrentSince Jun 17, 2019 Accepting new patients
Chelsea Diagnostic Radiology ,P.C Diagnostic Radiology PastSince Mar 15, 2008 Accepting new patients
DRS. Beranbaum, Khilnani, Neistadt, Jacobs, Hertz & Sherman, LLP Diagnostic Radiology Past Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, M.D., P.C. Past Accepting new patients

Locations

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

718 Teaneck Rd
Fl 3
Teaneck, NJ 07666
Phone (201) 833-3535

1184 5th Ave
#1235
New York, NY 10029
Phone (212) 241-6381

1176 5th Ave
#1235
New York, NY 10029
Phone (212) 241-6381

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1114004009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DOGWOOD LANE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "07670",
            "telephone_number": "201-568-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DOGWOOD LN",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701103",
            "telephone_number": "201-568-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "206900-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

Verify at the official NPI Registry.