Active NPI
Jory J Goldberg, M.D.
- Pulmonary Disease Physician
- Monroe TWP, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MA36882
- Practice address
- 18 Centre Dr
Suite 103
Monroe TWP, NJ 08831-1501 - Phone
- (609) 655-1700
- Fax
- (609) 655-4455
- NPI assigned
- Sep 14, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA36882 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | MA36882 | NJ | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA03688200 | NJ |
Addresses
Primary practice location
18 Centre Dr
Suite 103
Monroe TWP, NJ 08831-1501
Mailing address
18 Centre Dr
Suite 103
Monroe TWP, NJ 08831-1501
Phone (609) 655-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0428906 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18 Centre Dr
Suite 103
Monroe Township, NJ 08831-1501
Phone (609) 655-1700
Hospital & facility affiliations
- Penn Medicine Home Health Princeton Health
- Penn Medicine Hospice Princeton Health
- University Medical Center of Princeton at Plainsboro
- Capital Health Medical Center - Hopewell
- Saint Peter'S University Hospital
- Centrastate Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA36882 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jory Goldberg, MD PA | Critical Care Medicine | Current | Accepting new patients |
Locations
18 Centre Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 655-1700
1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000
Interoperability endpoints
- https://api.platform.athenahealth.com/6112/brand/1/csg/1/fhir/r4
- jory.goldberg.1@6112.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pulmonary Disease Physician
- Monroe TWP, NJ
- NPI 1326158460
Critical Care Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pennington, NJ
- NPI 1073516183
-
- General Acute Care Hospital
- Freehold, NJ
- NPI 1295718450
-
- Community Based Hospice Care Agency
- Princeton, NJ
- NPI 1376685297
-
- General Acute Care Hospital
- Plainsboro, NJ
- NPI 1689714255
-
- Home Health Agency
- Princeton, NJ
- NPI 1760524052
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388361600000",
"number": "1407841638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CENTRE DR",
"address_2": "SUITE 103",
"city": "MONROE TWP",
"state": "NJ",
"postal_code": "088311501",
"telephone_number": "609-655-1700",
"fax_number": "609-655-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CENTRE DR",
"address_2": "SUITE 103",
"city": "MONROE TWP",
"state": "NJ",
"postal_code": "088311501",
"telephone_number": "609-655-1700",
"fax_number": "609-655-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "JORY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2013-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA36882",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "MA36882",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MA03688200",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0428906",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe TWP, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.