Individual provider Active NPI

Ruth Goda, APRN

  • Acute Care Nurse Practitioner
  • Beverly, NJ
National Provider Identifier
1225845142
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ15234600 Issued in NJ
Practice address
215 Powder Mill Rd
Beverly, NJ 08010-1934
Phone
(973) 489-0406
NPI assigned
Dec 13, 2024
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ15234600 NJ Primary

Addresses

Primary practice location

215 Powder Mill Rd
Beverly, NJ 08010-1934

Mailing address

215 Powder Mill Rd
Beverly, NJ 08010-1934
Phone (973) 489-0406

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314000463 NJ Practitioner - Nurse Practitioner 6709308182 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15234600NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Mar 31, 2025 Accepting new patients
New Jersey Post Acute Medical Services 1 PA CurrentSince Mar 31, 2025 Accepting new patients
NJ Pacs 2 PA CurrentSince Mar 31, 2025 Accepting new patients

Locations

215 Madison Ave
Madison, NJ 07940
Phone (973) 301-0005

77 Madison Ave
Morristown, NJ 07960
Phone (973) 540-9800

95 Mount Kemble Ave
Morristown, NJ 07960
Phone (973) 971-4451

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1237 W Sherman Ave
Vineland, NJ 08360
Phone (856) 223-7718

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1225845142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 POWDER MILL RD",
            "city": "BEVERLY",
            "state": "NJ",
            "postal_code": "080101934",
            "telephone_number": "973-489-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 POWDER MILL RD",
            "city": "BEVERLY",
            "state": "NJ",
            "postal_code": "080101934",
            "telephone_number": "973-489-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODA",
        "first_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ15234600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, NJ

Sources for this page

Verify at the official NPI Registry.