Active NPI
Raimonda Goldman, D.O.
- Specialist
- Teaneck, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MB08766800
- Practice address
- 718 Teaneck Road
Regional Cancer Center
Teaneck, NJ 07666-0000 - Phone
- (201) 227-6008
- Fax
- (201) 227-6002
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 25MB08766800 | NJ | Primary |
Addresses
Primary practice location
718 Teaneck Road
Regional Cancer Center
Teaneck, NJ 07666-0000
Mailing address
718 Teaneck Road
Teaneck, NJ 07666-0000
Phone (201) 227-6008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0241032 | Medicaid | NJ |
Other names 1
- Raimonda Kopelnitsky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 227-6008
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB08766800 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Excelcare Medical Associates, PA | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Hematology Oncology Partners, PC | Specialist | Past | Accepting new patients |
Locations
1 W Ridgewood Ave
Ste 203
Paramus, NJ 07652
Phone (201) 312-5243
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
111 E 210th St
Bronx, NY 10467
984 N Broadway
Yonkers, NY 10701
Phone (914) 751-5432
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Teaneck, NJ
- NPI 1992736300
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Specialist
- Teaneck, NJ
- NPI 1649290198
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1639482581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 TEANECK ROAD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076660000",
"telephone_number": "201-227-6008",
"fax_number": "201-227-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 TEANECK ROAD",
"address_2": "REGIONAL CANCER CENTER",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076660000",
"telephone_number": "201-227-6008",
"fax_number": "201-227-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "RAIMONDA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MB08766800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0241032",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAIMONDA",
"last_name": "KOPELNITSKY",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.