Active NPI
Madhu B Goyal, M.D.
- Internal Medicine Physician
- South Plainfield, NJ
National Provider Identifier
1467457226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA03651800
- Practice address
- 904 Oak Tree Ave
Ste M
South Plainfield, NJ 07080-5126 - Phone
- (908) 757-1414
- Fax
- (908) 757-3317
- NPI assigned
- Jun 17, 2005
- Last updated
- Sep 23, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA03651800 | NJ | Primary |
Addresses
Primary practice location
904 Oak Tree Ave
Ste M
South Plainfield, NJ 07080-5126
Mailing address
1111 Cooper Rd
Scotch Plains, NJ 07076-2805
Phone (908) 769-0307
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111854000 | Other | AMERIHEALTH HMO | |
| 020613322 | Other | HORIZON BCBS OF NJ | |
| 020613322001 | Other | QUALCARE | |
| 1041262 | Other | HORIZON NJ HEALTH PLAN | |
| MIL00016301 | Other | AMERICHOICE OF NJ | |
| 2K4697 | Other | HEALTHNET | |
| 520762 | Other | AMERIHEALTH PPO | |
| 2206330 | Other | CIGNA | |
| 530537 | Other | UNITED HEATHCARE GROUP | |
| 8218368 | Other | GHI | |
| 4114699 | Other | AETNA HEALTHCARE | |
| 198AY1 | Other | EMPIRE BCBS | |
| 3718301 | Medicaid | NJ | |
| P2752619 | Other | OXFORD HEALTH PLANS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040123000571 | NJ | Practitioner - Internal Medicine | 7416859095 | Practice locations: Plainfield, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03651800 | NJ | MD | Internal Medicine Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- South Plainfield, NJ
- NPI 1134288384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1467457226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 COOPER RD",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070762805",
"telephone_number": "908-769-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 OAK TREE AVE",
"address_2": "STE M",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805126",
"telephone_number": "908-757-1414",
"fax_number": "908-757-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOYAL",
"first_name": "MADHU",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA03651800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "111854000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BCBS OF NJ",
"identifier": "020613322",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCARE",
"identifier": "020613322001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH PLAN",
"identifier": "1041262",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE OF NJ",
"identifier": "MIL00016301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K4697",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO",
"identifier": "520762",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2206330",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEATHCARE GROUP",
"identifier": "530537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "8218368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "4114699",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "198AY1",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3718301",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P2752619",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in South Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.