NPIMap

Individual provider Active NPI

Abraham Goodgold, MD

  • Internal Medicine Physician
  • Elizabeth, NJ
National Provider Identifier
1184791980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA034627 Issued in NJ
Practice address
310 W Jersey St
Elizabeth, NJ 07202-1832
Phone
(908) 351-2222
Fax
(908) 351-1977
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA034627 NJ Primary

Addresses

Primary practice location

310 W Jersey St
Elizabeth, NJ 07202-1832

Mailing address

310 W Jersey St
Elizabeth, NJ 07202-1832
Phone (908) 351-2222

Other identifiers 1

IdentifierTypeStateIssuer
0912409MedicaidNJ

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
I20051103000027 NJ Practitioner - Endocrinology 7517985195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
New York University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Union County Health Care Associates LLCGroup PAC ID 2163450958, 19 clinicians

Practice addresses (Care Compare)

2005 Saint Georges Ave
Rahway, NJ 07065-2007
Phone (732) 381-3740

300 S Ave
Garwood, NJ 07027-1312

33 Overlook Rd
Suite 304
Summit, NJ 07901-3563
Phone (732) 381-3740

637 Westfield Ave
Elizabeth, NJ 07208-1325
Phone (908) 691-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA034627NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Health Care Associates LLC Internal Medicine CurrentSince Dec 7, 2010 Accepting new patients

Locations

310 Central Ave
Ste 100
East Orange, NJ 07018
Phone (862) 520-3104

310 W Jersey St
Elizabeth, NJ 07202
Phone (908) 351-2222

300 South Ave
Garwood, NJ 07027
Phone (908) 232-2273

2005 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 381-3740

33 Overlook Rd
Ste 304
Summit, NJ 07901
Phone (732) 381-3740

Interoperability endpoints

  • Direct secure messaging: goodgold.abraham.004.0300087@ucha.meditab.direct-ci.com

Organizations & group practices 2

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 8

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184791980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021832",
            "telephone_number": "908-351-2222",
            "fax_number": "908-351-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021832",
            "telephone_number": "908-351-2222",
            "fax_number": "908-351-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODGOLD",
        "first_name": "ABRAHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA034627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0912409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.