Individual provider Active NPI

Roveena Noeline Goveas, M.D.

  • Internal Medicine Physician
  • Montclair, NJ
National Provider Identifier
1487895363
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09454400 Issued in NJ
Practice address
1 Bay Ave
Montclair, NJ 07042-4837
Phone
(248) 345-8270
NPI assigned
Mar 23, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 43010902550 MI
Internal Medicine Physician 207R00000X 25MA09454400 NJ Primary

Addresses

Primary practice location

1 Bay Ave
Montclair, NJ 07042-4837

Mailing address

110 6TH Street Apt L
North Arlington, NJ 07031
Phone (248) 345-8270

Other identifiers 1

IdentifierTypeStateIssuer
1487895363MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140714002008 NJ Practitioner - Internal MedicinePractitioner - Nephrology 3870761364 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plover Inpatient Services LLCGroup PAC ID 1355561663, 158 clinicians
Montclair Hospital LLCGroup PAC ID 7810092814, 21 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6000

123 Highland Ave
Suite 201
Glen Ridge, NJ 07028-1522
Phone (862) 333-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09454400NJMDInternal Medicine Physician
43010902550MIMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Old Hook Hospitalists LLC CurrentSince Jan 10, 2016 Accepting new patients
Subacute Medical Associates Internal Medicine CurrentSince Sep 21, 2015 Accepting new patients
Montclair Hospital LLC Internal Medicine CurrentSince Feb 7, 2018 Accepting new patients
Montclair Hospital LLC General Acute Care Hospital CurrentSince Feb 7, 2018 Accepting new patients

Locations

110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600

123 Highland Ave
Ste 201
Glen Ridge, NJ 07028
Phone (862) 333-4700

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

Interoperability endpoints

  • Direct secure messaging: rgoveas191496@ahs.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487895363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 6TH STREET APT L",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "07031",
            "telephone_number": "248-345-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "248-345-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVEAS",
        "first_name": "ROVEENA",
        "middle_name": "NOELINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "43010902550",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09454400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487895363",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.