Neil Ellis Goldberg, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

25MD00103900 Issued in NJ

Practice address

228 S Orange Ave
South Orange, NJ 07079-2202

Phone

(973) 762-9060

Fax

(973) 762-5056

NPI assigned

Jun 8, 2006

Last updated

Jan 9, 2021By the provider in NPPES

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

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21931/brand/1/csg/1/fhir/r4

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.

• Essex Podiatry Associates

  • Primary Podiatric Medicine Podiatrist
  • Livingston, NJ
  • NPI 1477611259
  Medicare reassignment NPD
• Podiatry Foot & Ankle Institute

  • Podiatrist
  • Montvale, NJ
  • NPI 1407911035

  Primary Podiatric Medicine

  Medicare reassignment NPD
• Associated Foot Care of Warren County,PC

  • Foot & Ankle Surgery Podiatrist
  • Hackettstown, NJ
  • NPI 1538288725
  NPD (past)
• Dr. Stern/Strauss Podiatric Physicians of New Jersey

  • Foot & Ankle Surgery Podiatrist
  • Fair Lawn, NJ
  • NPI 1104154475
  NPD (past)
• Ironbound Endo Surgical Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Newark, NJ
  • NPI 1538389812
  NPD (past)
• Podiatric Management

  • Primary Podiatric Medicine Podiatrist
  • Newark, NJ
  • NPI 1760540496
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1538100185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON CT",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392118",
            "telephone_number": "973-535-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792202",
            "telephone_number": "973-762-9060",
            "fax_number": "973-762-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "NEIL",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00103900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0857602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simone Elizabeth Gill, DCES, MPH
• Sean M Gilligan, LCSW
• Brendan Gioello
• Samantha Giordano
• Rodger Goddard, PH.D.
• Golden Path Services
• Goldson Medical Associates, LLC
• Debra N Goldson-Prophete, MD
• Emmanuel Gonzalez, PA
• Mark Alastair Graham, LCSW

• Primary Podiatric Medicine Podiatrist in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Primary Podiatric Medicine Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.

Verify at the official NPI Registry.