Susan Brill Goldberg, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA05467300 Issued in NJ

Practice address

7 Wirt St
New Brunswick, NJ 08901-1765

Phone

(732) 565-5487

NPI assigned

May 5, 2006

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Female

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

Pediatric Medicine

Education

Albert Einstein College of Medicine of Yeshiva University, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Peter's Specialty Physicians PCGroup PAC ID 8426373952, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.brill.1@8568.direct.athenahealth.com
• Direct secure messaging: susan.brill.2@8568.direct.athenahealth.com
• Direct secure messaging: susan.brill.goldberg.1@8568.direct.athenahealth.com

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.

• Saint Peter's Specialty Physicians, P.C.

  • Gastroenterology Physician
  • Lakewood, NJ
  • NPI 1861894982
  Medicare reassignment Care Compare group NPD
• Saint Peter's Healthcare System Physician Associates

  • General Practice Physician
  • New Brunswick, NJ
  • NPI 1548569361
  Medicare reassignment
• Saint Peter's University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Medicare reassignment
• Practice Associates,Inc

  • Physician Assistant
  • Morristown, NJ
  • NPI 1699733907
  NPD (past)
• Specialty Care of Practice Associates,PA

  • Specialist
  • Morristown, NJ
  • NPI 1215985908
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1487602033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-565-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WIRT ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011765",
            "telephone_number": "732-565-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILL GOLDBERG",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA05467300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugenio Bricio Jr., DMD
• Elina Brick
• Jonathan Carlo Briganti, DO
• Kari Briggs
• Henrietta Reeve Bright, MD, MPH
• Lakisha Brimage
• Jorge Elias Brito de la Cruz
• Stephanie Angelica Brito, APN
• Fares Brnouti, M.D.
• Bryan Broderick

• Pediatric Adolescent Medicine Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.