Jennifer Goldberg, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00030300 Issued in NJ

Practice address

51 Park St
Montclair, NJ 07042-3439

Phone

(973) 509-6900

Fax

(973) 509-6939

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Cohen Former name

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

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.goldberg@schweigerderm.emadirect.md

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.

• Schweiger Dermatology, PC

  • Dermatology Physician
  • Elmer, NJ
  • NPI 1104229392
  Medicare reassignment Care Compare group NPD
• The Dermatology Group

  • Dermatology Physician
  • West Orange, NJ
  • NPI 1962428474
  NPD
• Evergreen Emergency Solutions, PC

  • Emergency Medicine Physician
  • Montclair, NJ
  • NPI 1558349274
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1235149774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423439",
            "telephone_number": "973-509-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423439",
            "telephone_number": "973-509-6900",
            "fax_number": "973-509-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00030300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COHEN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Go Grow 1 Inc
• Jodi Godfrey, MS, RD
• Charles S Goldberg, MD
• Clair L Goldberg, PSY.D.
• Henchi Goldberg
• Stephanie L Goldberg, LCSW-R
• Alyssa Golden, CCC-SLP
• Yvonne C Goldman, RDH
• Ira Morris Goldstein, M.D.
• Samantha Rae Goman, PA-C

• Physician Assistant in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.