Ruth Goda, APRN
Individual provider Active NPI Acute Care Nurse Practitioner · Beverly, NJ
NPI 1225845142 · NPPES record last updated Dec 13, 2024
Key facts
- NPI
- 1225845142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 26NJ15234600 (NJ)
- Practice address
- 215 Powder Mill Rd
Beverly, NJ 08010-1934 - Phone
- (973) 489-0406
- NPI assigned
- Dec 13, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250314000463 | NJ | Practitioner - Nurse Practitioner | 6709308182 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Northeast, LLC | Current |
Accepting new patients | |
| NJ Pacs 2 PA | Current |
Accepting new patients | |
| New Jersey Post Acute Medical Services 1 PA | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ15234600 | NJ | Yes |
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
Other providers in Beverly, NJ
- W. Albert Dow
- Dungarvin New Jersey, LLC-Park
- Faith Christian Counseling Center Inc
- Faith Christian Counseling Center Inc
- Peter Kwabena Frimpong
- Tiffiny Shantay Green
- Sasha Harris
- Mia Haskins
- Jasmine Kiara Jackson
- Nadine Jacobs
All providers in Beverly, NJ · Acute Care Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.