Individual provider Active NPI

Karyn Lisa Goldberg, D.P.M.

  • Podiatrist
  • Livingston, NJ
National Provider Identifier
1700928538
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD 02515 Issued in NJ
Practice address
22 Old Short Hills Rd Ste 100
Livingston, NJ 07039-5604
Phone
(973) 251-2906
Fax
(973) 369-7035
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD 02515 NJ Primary

Addresses

Primary practice location

22 Old Short Hills Rd Ste 100
Livingston, NJ 07039-5604

Mailing address

22 Old Short Hills Rd Ste 110
Livingston, NJ 07039-5605
Phone (973) 251-2906

Other identifiers 1

IdentifierTypeStateIssuer
7972105MedicaidNJ

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000342 NJ Practitioner - Podiatry 8022901628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22 Old Short Hills Rd
Suite 214
Livingston, NJ 07039-5612
Phone (973) 251-2906

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as individual
Quality
93.15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of nail tissue890
Removal or shaving of skin growth117
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD 02515NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Goldberg Podiatry Center LLC Podiatrist CurrentSince Mar 14, 2018 Accepting new patients

Locations

22 Old Short Hills Rd
Ste 214
Livingston, NJ 07039
Phone (973) 251-2906

22 Old Short Hills Rd
Ste 110
Livingston, NJ 07039
Phone (973) 517-4551

22 Old Short Hills Rd
Ste 100
Livingston, NJ 07039
Phone (973) 251-2906

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1700928538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD STE 110",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395605",
            "telephone_number": "973-251-2906",
            "fax_number": "973-369-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD STE 100",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-251-2906",
            "fax_number": "973-369-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "KARYN",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD 02515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7972105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.