Active NPI
Andrew Goelz, DPT
- Physical Medicine & Rehabilitation Physician
- Freehold, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 40QA01748300
- Practice address
- 3 Paragon Way Ste 250
Freehold, NJ 07728-9578 - Phone
- (732) 431-2883
- Fax
- (732) 431-2883
- NPI assigned
- Aug 30, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 40QA01748300 | NJ | Primary |
Addresses
Primary practice location
3 Paragon Way Ste 250
Freehold, NJ 07728-9578
Mailing address
1173 Beacon Ave # C
Manahawkin, NJ 08050-2420
Phone (609) 402-5255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 Paragon Way
Suite 250
Freehold, NJ 07728-9578
Phone (732) 431-2883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01748300 | NJ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Physical Therapy Center | Current | Accepting new patients | |
| Coastal Home Rehabilitation, LLC | Current | Accepting new patients | |
| Atlantic Physical Therapy Center | Current | Accepting new patients |
Locations
3 Paragon Way
Ste 250
Freehold, NJ 07728
Phone (732) 431-2883
1173 Beacon Ave
Ste C
Manahawkin, NJ 08050
Phone (609) 978-5868
1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800
1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787
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.
-
- Orthopedic Physical Therapist
- Toms River, NJ
- NPI 1801857917
-
- Multi-Specialty Clinic/Center
- Belmar, NJ
- NPI 1316236664
-
- Hand Occupational Therapist
- Oakhurst, NJ
- NPI 1659945228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1407373418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1173 BEACON AVE # C",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502420",
"telephone_number": "609-402-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PARAGON WAY STE 250",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077289578",
"telephone_number": "732-431-2883",
"fax_number": "732-431-2883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOELZ",
"first_name": "ANDREW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-30",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "40QA01748300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.