Organization Active NPI

SG Endocrine PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Edgewater, NJ
National Provider Identifier
1164747184
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.