Individual provider Active NPI

Dov Gorshein, MD

  • Hematology (Internal Medicine) Physician
  • Bloomfield, NJ
National Provider Identifier
1396897732
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
25MA03986800 Issued in NJ
Practice address
1515 Broad St Ste B120
Bloomfield, NJ 07003-3059
Phone
(973) 873-7000
Fax
(973) 743-8943
NPI assigned
Jan 17, 2007
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 25MA03986800 NJ Primary

Addresses

Primary practice location

1515 Broad St Ste B120
Bloomfield, NJ 07003-3059

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

97 W Parkway
Collins Pavilion, Cancer Center
Pompton Plains, NJ 07444-1647
Phone (973) 831-5306

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgorshien21308@njurology.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091222000572 NJ Practitioner - Radiation OncologyPractitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hematology 9032259064 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Healthcare, Inc. CurrentSince Jun 23, 2019 Accepting new patients
New Jersey Urology LLC CurrentSince Mar 1, 2021 Accepting new patients
Sovereign Medical Group LLC CurrentSince Sep 15, 2014 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Sep 15, 2014 Accepting new patients
New Jersey Healthcare Specialists PC PastSince Nov 26, 2019 Accepting new patients
Urology Consultants PA Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

85 Harristown Rd
Ste 200
Glen Rock, NJ 07452
Phone (201) 444-4526

20 Woodridge Ave
Hackensack, NJ 07601
Phone (201) 500-4958

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

160 Pehle Ave
#C
Saddle Brook, NJ 07663
Phone (201) 881-1000

1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035

234 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 310-0300

375 Mount Pleasant Ave
Ste 250
West Orange, NJ 07052
Phone (973) 323-1300

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1396897732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BROAD ST STE B120",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033059",
            "telephone_number": "973-873-7000",
            "fax_number": "973-743-8943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 W Parkway",
            "address_2": "Collins Pavilion, Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Pompton Plains",
            "state": "NJ",
            "postal_code": "074441647",
            "country_code": "US",
            "telephone_number": "973-831-5306",
            "fax_number": "973-831-5305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORSHEIN",
        "first_name": "DOV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NJ",
            "license": "25MA03986800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgorshien21308@njurology.direct-ci.com",
            "affiliation": "N",
            "address_1": "160 Pehle Ave Ste 103",
            "city": "Saddle Brook",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076635227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.