Individual provider Active NPI

Stuart Leigh Goldberg, MD

  • Hematology & Oncology Physician
  • North Bergen, NJ
National Provider Identifier
1215996376
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA06690200 Issued in NJ
Practice address
7650 River Rd
North Bergen, NJ 07047-6526
Phone
(201) 464-0008
Fax
(201) 662-1267
NPI assigned
Mar 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA06690200 NJ Primary

Addresses

Primary practice location

7650 River Rd
North Bergen, NJ 07047-6526

Mailing address

92 2ND St
Hackensack, NJ 07601-2191

Other practice location 1

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6096

Other practice location 2

92 2nd St
Hackensack, NJ 07601-2191
Phone (551) 996-3925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000047 NJ Practitioner - Hematology/Oncology 7315922127 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06690200NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Apr 3, 1998 Accepting new patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Apr 3, 1998 Accepting new patients

Locations

25 Main St
Ste 601
Hackensack, NJ 07601
Phone (201) 510-0910

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

92 2nd St
Hackensack, NJ 07601
Phone (551) 996-2210

100 1st St
Ste 301
Hackensack, NJ 07601
Phone (551) 996-5848

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

7650 River Rd
North Bergen, NJ 07047
Phone (201) 639-6620

Interoperability endpoints

  • Direct secure messaging: sgoldberg275624@ahs.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1215996376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 2ND ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 RIVER RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476526",
            "telephone_number": "201-464-0008",
            "fax_number": "201-662-1267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bay Ave",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070424837",
            "country_code": "US",
            "telephone_number": "973-429-6096",
            "fax_number": "973-680-7845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "92 2nd St",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076012191",
            "country_code": "US",
            "telephone_number": "551-996-3925",
            "fax_number": "551-996-0574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "STUART",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA06690200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.