NPIMap

Individual provider Active NPI

Larisa Golub, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Flemington, NJ
National Provider Identifier
1710956586
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
25MA07954000 Issued in NJ
Practice address
121 Route 31 Ste 1000
Flemington, NJ 08822-5755
Phone
(908) 788-6373
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 25MA07954000 NJ Primary

Addresses

Primary practice location

121 Route 31 Ste 1000
Flemington, NJ 08822-5755

Mailing address

121 Route 31 Ste 1000
Flemington, NJ 08822-5755
Phone (908) 788-6373

Other identifiers 1

IdentifierTypeStateIssuer
8213101MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address larisa.golub.p23@direct.hunterdon.nextgenshare.com Direct
Direct Messaging Address larisa.golub.p32@direct.hunterdon.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051004000257 NJ Practitioner - Hospice/Palliative CarePractitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Internal Medicine 1850326380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Geriatric Medicine, Internal Medicine
Education
National Medical University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Specialty CareGroup PAC ID 4587966601, 94 clinicians

Practice addresses (Care Compare)

121 Route 31
Suite 1000
Flemington, NJ 08822-5755
Phone (908) 237-7018

Hospital & facility affiliations

  • Visiting Nurse Assoc of Northern New Jersey, Inc Home health agency, Morristown, NJ, CCN 317002
  • Hunterdon Hospice Inc Hospice, Flemington, NJ, CCN 311524
  • Ennoble Care Hospice, Hackettstown, NJ, CCN 311585
  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005
  • Country Arch Care Center Nursing home, Pittstown, NJ, CCN 315433

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
79.98
Promoting interoperability
97
Improvement activities
40
Cost
72.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Specialty Care PC CurrentSince Jan 1, 2016 Accepting new patients
Hunterdon Specialty Care PC Current Accepting new patients
Hunterdon Specialty Care CurrentSince Jan 1, 2016 Accepting new patients
Hunterdon Medical Center Past Accepting new patients
Hunterdon Specialty Care, PC Past Accepting new patients
Hunterdon Medical Center Past Accepting new patients
Hunterdon Specialty Care, PC Past Accepting new patients
Country Arch Care Center, LLC PastSince Apr 1, 2001 Accepting new patients

Locations

1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

121 State Route 31
Ste 1000
Flemington, NJ 08822
Phone (908) 237-7018

121 State Route 31
Ste 1200
Flemington, NJ 08822
Phone (908) 782-0019

215 State Route 31
#116
Flemington, NJ 08822

Interoperability endpoints

  • Direct secure messaging: larisa.golub.p23@direct.hunterdon.nextgenshare.com
  • Direct secure messaging: larisa.golub.p32@direct.hunterdon.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Country Arch Care Center, LLCPittstown, NJ, CCN 315433 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2001
Apr 1, 2001

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 5

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1710956586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ROUTE 31 STE 1000",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225755",
            "telephone_number": "908-788-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ROUTE 31 STE 1000",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225755",
            "telephone_number": "908-788-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUB",
        "first_name": "LARISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07954000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8213101",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "larisa.golub.p23@direct.hunterdon.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "larisa.golub.p23@direct.hunterdon.nextgenshare.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "121 Route 31 Ste 1000",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088225755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "larisa.golub.p32@direct.hunterdon.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "larisa.golub.p32@direct.hunterdon.nextgenshare.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "121 Route 31 Ste 1000",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088225755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.