Active NPI
Karen E Goldberg, RD
- Registered Dietitian
- Florham Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 912625
- Practice address
- 7 Columbia Tpke
Florham Park, NJ 07932-2201 - Phone
- (973) 765-9355
- Fax
- (973) 765-9366
- NPI assigned
- Nov 1, 2006
- Last updated
- Feb 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 912625 | NJ | Primary |
Addresses
Primary practice location
7 Columbia Tpke
Florham Park, NJ 07932-2201
Mailing address
2 Baker St
Wayne, NJ 07470-4601
Phone (201) 410-8501
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3739135 | Other | NJ | CIGNA |
| P3666127 | Other | NJ | OXFORD |
| 3423577000 | Other | NJ | AMERIHEALTH |
| 11543443 | Other | NJ | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
573 Valley Rd
Suite 4C
Wayne, NJ 07470-3552
Phone (973) 646-8899
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 912625 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition 101, LLC | Dietitian, Registered | Current | Accepting new patients |
| Storch Nutritional Medicine Associates,PA | Dietitian, Registered | Past | Accepting new patients |
| Metabolic Care Associates P.a. | Past | Accepting new patients |
Locations
573 Valley Rd
Ste 4C
Wayne, NJ 07470
Phone (973) 646-8899
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
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- NPI 1558978577
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dba Advanced Metabolic & Functional Medicine Center
- Internal Medicine Physician
- Cedar Knolls, NJ
- NPI 1336295419
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1316024003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BAKER ST",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704601",
"telephone_number": "201-410-8501",
"fax_number": "973-765-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 COLUMBIA TPKE",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322201",
"telephone_number": "973-765-9355",
"fax_number": "973-765-9366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "KAREN",
"middle_name": "E",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "912625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3739135",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3666127",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "3423577000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "11543443",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.