Active NPI
SG Endocrine PC
- Endocrinology, Diabetes & Metabolism Physician
- Edgewater, NJ
National Provider Identifier
1164747184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- SG ENDOCRINE PC
- Practice address
- 968 River Rd Ste 203
Edgewater, NJ 07020-2237 - Phone
- (201) 224-8328
- Fax
- (973) 387-1488
- NPI assigned
- Apr 1, 2010
- Last updated
- Oct 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stanislav Goykhman, M.D.
- Title
- Medical Director
- Phone
- (610) 360-7250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
968 River Rd Ste 203
Edgewater, NJ 07020-2237
Mailing address
968 River Rd Ste 203
Edgewater, NJ 07020-2237
Phone (973) 771-5199
National Provider Directory
National Provider DirectoryLocations
968 River Rd
Ste 203
Edgewater, NJ 07020
Phone (201) 224-8328
87 Berdan Ave
Ste 2B
Wayne, NJ 07470
Phone (973) 692-9631
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Endocrinology, Diabetes & Metabolism Physician
- Bayonne, NJ
- NPI 1346695467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507593600000",
"number": "1164747184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 RIVER RD STE 203",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070202237",
"telephone_number": "973-771-5199",
"fax_number": "973-387-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 RIVER RD STE 203",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070202237",
"telephone_number": "201-224-8328",
"fax_number": "973-387-1488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SG ENDOCRINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-01",
"last_updated": "2017-10-10",
"status": "A",
"authorized_official_last_name": "GOYKHMAN",
"authorized_official_first_name": "STANISLAV",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "610-360-7250",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.