Individual provider Active NPI

Jonathan Aviv Golani, MD

  • Internal Medicine Physician
  • West Caldwell, NJ
National Provider Identifier
1629573845
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11253800 Issued in NJ
Practice address
1129 Bloomfield Ave Ste 100
West Caldwell, NJ 07006-7123
Phone
(973) 429-6864
Fax
(973) 521-7888
NPI assigned
Mar 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA11253800 NJ Primary

Addresses

Primary practice location

1129 Bloomfield Ave Ste 100
West Caldwell, NJ 07006-7123

Mailing address

PO Box 419430
Boston, MA 02241-9430
Phone (201) 967-8221

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
I20211027003396 NJ Practitioner - Internal Medicine 1153667944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MPV New Jersey MD Services PCGroup PAC ID 5991097669, 146 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (201) 781-1387

311 Bay Ave
Glen Ridge, NJ 07028-1607
Phone (973) 748-9246

622 Franklin Ave
Nutley, NJ 07110-1247
Phone (973) 661-1900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MPV New Jersey MD Services PC CurrentSince Nov 15, 2021 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Nov 15, 2021 Accepting new patients

Locations

311 Bay Ave
Glen Ridge, NJ 07028
Phone (973) 748-9166

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

1129 Bloomfield Ave
Ste 100
West Caldwell, NJ 07006
Phone (973) 429-6864

Interoperability endpoints

  • Direct secure messaging: jgolani469028@ahs.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1629573845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419430",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419430",
            "telephone_number": "201-967-8221",
            "fax_number": "201-483-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 BLOOMFIELD AVE STE 100",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067123",
            "telephone_number": "973-429-6864",
            "fax_number": "973-521-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLANI",
        "first_name": "JONATHAN",
        "middle_name": "AVIV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11253800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.