Jacob L Goldberg, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

25MA12204100 Issued in NJ

Practice address

309 Engle St Ste 1
Englewood, NJ 07631-1822

Phone

(201) 569-7737

Fax

(201) 373-2041

NPI assigned

Apr 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurosurgery

Education

University of Wisconsin School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan Neurosurgery Associates, PCGroup PAC ID 9436041654, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
• Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Metropolitan Neurosurgery Associates, PC

  • Neurological Surgery Physician
  • Englewood, NJ
  • NPI 1881661403
  Medicare reassignment Care Compare group NPD
• Kingsbrook Medical Associates PC

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1770844797
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation
• Holy Name Hospital Regional Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Teaneck, NJ
  • NPI 1043389349

  Hospital

  Care Compare affiliation
• Holy Name Medical Center Inc.

  • General Acute Care Hospital
  • Teaneck, NJ
  • NPI 1104859131
  Care Compare affiliation

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1487187332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ENGLE ST STE 1",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311822",
            "telephone_number": "015-697-7372",
            "fax_number": "201-373-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ENGLE ST STE 1",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311822",
            "telephone_number": "201-569-7737",
            "fax_number": "201-373-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JACOB",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA12204100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Glick, APN
• Lauren Gliniak
• Melvin Gluck, PH.D
• Carolyn Grace Certo Gnerre, M.D.
• Gold Star Physical Therapy LLC
• Lorna Scales Goldberg, LCSW
• William Seth Goldberg, MSW
• Joshua Aaron Goldfein, D.M.D.
• Mindy A Goldfischer, MD
• Goldman Physical Therapy, LLC (David Victor Goldman, MSPT)

• Neurological Surgery Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.

Verify at the official NPI Registry.