Active NPI
Alvin Roy Goldman, P.T.
- Physical Therapist
- Hazlet, NJ
National Provider Identifier
1154537090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00193700
- Practice address
- 984 State Route 36
Hazlet, NJ 07730-1700 - Phone
- (732) 739-0888
- Fax
- (732) 739-5351
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00193700 | NJ | Primary |
Addresses
Primary practice location
984 State Route 36
Hazlet, NJ 07730-1700
Mailing address
24 Springhouse Rd
Ocean, NJ 07712-3741
Phone (732) 918-8092
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1154537090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SPRINGHOUSE RD",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077123741",
"telephone_number": "732-918-8092",
"fax_number": "732-918-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984 STATE ROUTE 36",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301700",
"telephone_number": "732-739-0888",
"fax_number": "732-739-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "ALVIN",
"middle_name": "ROY",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00193700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.