Individual provider Active NPI

Elihu N Goren, MD PHD

  • Endocrinology, Diabetes & Metabolism Physician
  • Plymouth Meeting, PA
National Provider Identifier
1639142912
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD016322E Issued in PA
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

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0977373010MedicaidPA
0048626000OtherPALIBC
4066915OtherPAAETNA

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

LicenseStateTypeSpecialty
MD016322EPAMDEndocrinology, Diabetes & Metabolism Physician

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.