Richard M Gomberg, DO

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MB4007200 Issued in NJ

Practice address

1 Brace Road
Suite C
Cherry Hill, NJ 08034-2624

Phone

(856) 482-8900

Fax

(856) 482-8943

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Lourdes Cardiology Services

  • Cardiovascular Disease Physician
  • Camden, NJ
  • NPI 1417169772
  NPD (past)
• South Jersey Heart Group, PC

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
  • NPI 1922090786
  NPD (past)
• South Jersey Radiology Associates P a

  • Diagnostic Radiology Physician
  • Voorhees, NJ
  • NPI 1477551653
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1497747257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRACE ROAD",
            "address_2": "SUITE C",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342624",
            "telephone_number": "856-482-8900",
            "fax_number": "856-482-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRACE ROAD",
            "address_2": "SUITE C",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342624",
            "telephone_number": "856-482-8900",
            "fax_number": "856-482-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMBERG",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS004301L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB4007200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2356007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Goldsmith, M.D.
• David W. Goldstein, DO
• Lori Goldstein, RPH, CCP
• Meryl Stacey Goldstein, MPT
• Michael Goldtrap, MS, CCC-SLP
• Andrey M Gomez, MPT
• Jaime Gontowski
• Gordon Gonyea, PT
• Amber M Gonzalez, LAC
• Crystal Natalia Gonzalez, DPM

• Cardiovascular Disease Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.