Active NPI
Elihu N Goren, MD PHD
- Endocrinology, Diabetes & Metabolism Physician
- Plymouth Meeting, PA
National Provider Identifier
1639142912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD016322E
- Practice address
- 633 W Germantown Pike Suite 105
Endocrine Associates PC
Plymouth Meeting, PA 19462-1002 - Phone
- (610) 941-6799
- Fax
- (610) 941-6381
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD016322E | PA | Primary |
Addresses
Primary practice location
633 W Germantown Pike Suite 105
Endocrine Associates PC
Plymouth Meeting, PA 19462-1002
Mailing address
633 W Germantown Pike Suite 105
Endocrine Associates PC
Plymouth Meeting, PA 19462-1002
Phone (610) 941-6799
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0977373010 | Medicaid | PA | |
| 0048626000 | Other | PA | LIBC |
| 4066915 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD016322E | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
Interoperability endpoints
- elihu.goren@direct.einstein.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1639142912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 W GERMANTOWN PIKE SUITE 105",
"address_2": "ENDOCRINE ASSOCIATES PC",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621002",
"telephone_number": "610-941-6799",
"fax_number": "610-941-6381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 W GERMANTOWN PIKE SUITE 105",
"address_2": "ENDOCRINE ASSOCIATES PC",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621002",
"telephone_number": "610-941-6799",
"fax_number": "610-941-6381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOREN",
"first_name": "ELIHU",
"middle_name": "N",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD016322E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0977373010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIBC",
"identifier": "0048626000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4066915",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.