Michael Golub

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA07078500 Issued in NJ

Practice address

40 Bey Lea Rd
Suite B203
Toms River, NJ 08753-2900

Phone

(732) 341-0720

Fax

(732) 244-6842

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.golub@chemed.eclinicaldirectplus.com
• Direct secure messaging: michaelgolub@pediatricaff.allscriptsdirect.net

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.

• Pediatric Affiliates PA

  • Pediatrics Physician
  • Toms River, NJ
  • NPI 1669404018
  NPD
• Lakewood Resource and Referral Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1083748297
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336177369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "SUITE B203",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-341-0720",
            "fax_number": "732-244-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "SUITE B203",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-341-0720",
            "fax_number": "732-244-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUB",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07078500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2695860",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2213878",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0869681000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "952857",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10697601",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY",
            "identifier": "29128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "IK8406",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hadassah Tova Goldman
• Sherry Lynn Goldman, LCSW
• Amy Sue Goldsberry, M.A., CCC-SLP
• Shanna Goldstein, LCSW
• Cyrus Michael Golsaz, MD
• Amie Gomez, DPT
• Brianna Marie Gonzalez
• Felicia E. Gonzalez, D.O.
• Andrew M. Goold, DC
• Avi I Gopin, LPC

• Pediatrics Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.