NPIMap

Individual provider Active NPI

Cyrus Michael Golsaz, MD

  • Diagnostic Radiology Physician
  • Toms River, NJ
National Provider Identifier
1295017762
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA09192500 Issued in NJ
Practice address
79 Route 37 W
Suite 103
Toms River, NJ 08755-6405
Phone
(732) 678-0087
NPI assigned
Sep 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D75875 MD
Diagnostic Radiology Physician 2085R0202X MD445068 PA
Diagnostic Radiology Physician 2085R0202X 266480 NY
Diagnostic Radiology Physician 2085R0202X 25MA09192500 NJ Primary

Addresses

Primary practice location

79 Route 37 W
Suite 103
Toms River, NJ 08755-6405

Mailing address

79 NJ-37 #103
Toms River, NJ 08755
Phone (732) 678-0087

Other identifiers 2

IdentifierTypeStateIssuer
1029704810001MedicaidPA
07873269MedicaidNY

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
I20151208000242 NJ Practitioner - Diagnostic Radiology 9537300322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peace Health Partners, PCGroup PAC ID 6709776222, 33 clinicians

Practice addresses (Care Compare)

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3280

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09192500NJMDDiagnostic Radiology Physician
MD445068PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Village Imaging, LLC CurrentSince Dec 1, 2015 Accepting new patients
Peace Health Partners, PC Diagnostic Radiology CurrentSince Jul 17, 2017 Accepting new patients
3G Radiology, LLC Diagnostic Radiology Past Accepting new patients

Locations

1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272

1301 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-0483

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

718 Teaneck Rd
Fl 3
Teaneck, NJ 07666
Phone (201) 803-3065

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1295017762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 NJ-37 #103",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-678-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ROUTE 37 W",
            "address_2": "SUITE 103",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556405",
            "telephone_number": "732-678-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLSAZ",
        "first_name": "CYRUS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D75875",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD445068",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "266480",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09192500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029704810001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07873269",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.