Individual provider Active NPI

Alvin Goldberg, MD

  • Emergency Medicine Physician
  • North Bergen, NJ
National Provider Identifier
1396759270
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
33453 Issued in NJ
Practice address
7600 River Road
North Bergen, NJ 07047
Phone
(201) 854-5009
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA03345300 NJ
Emergency Medicine Physician 207P00000X 33453 NJ Primary

Addresses

Primary practice location

7600 River Road
North Bergen, NJ 07047

Mailing address

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6000

Other identifiers 1

IdentifierTypeStateIssuer
4567200MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090806000555 NJ Practitioner - Emergency Medicine 8426084138 Reassigns benefits to 5 organizations
I20131120000865 NY Practitioner - Emergency MedicinePractitioner - Other (Physician) 8426084138 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33453NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care of Wantagh PLLC CurrentSince Sep 5, 2022 Accepting new patients
Doctor'S Office of West Caldwell LLC Emergency Medicine CurrentSince Mar 15, 2011 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Jun 1, 2014 Accepting new patients
Doctors Office of Brick CurrentSince Oct 26, 2013 Accepting new patients
Excel Urgent Care of Paramus LLC CurrentSince Jul 1, 2009 Accepting new patients
The Doctors Office of Manalapan LLC Emergency Medicine CurrentSince Oct 26, 2013 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Feb 19, 2018 Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Mar 15, 2011 Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

120 Craig Rd
Manalapan, NJ 07726
Phone (723) 414-2991

110 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 265-9500

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

556 Passaic Ave
West Caldwell, NJ 07006
Phone (973) 808-2273

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1396759270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-622-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 RIVER ROAD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-854-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ALVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03345300",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "33453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4567200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.