Active NPI
Robert A Goren, M.D.
- Diagnostic Radiology Physician
- Bala Cynwyd, PA
National Provider Identifier
1790773174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD021884E
- Practice address
- 301 E City Ave
Bala Cynwyd, PA 19004-1708 - Phone
- (610) 668-3505
- Fax
- (610) 668-3509
- NPI assigned
- Oct 11, 2005
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD021884E | PA | Primary |
Addresses
Primary practice location
301 E City Ave
Bala Cynwyd, PA 19004-1708
Mailing address
1132 Hainesport Mount Laurel Rd
Mount Laurel, NJ 08054-9501
Phone (856) 778-7301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790773174 | Other | NPI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rittenhouse Imaging Center, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Bryn Mawr Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Greentree Radiology Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Greentree Radiology Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Broomall Radiology Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Professionals of Pennsylvania PC | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Associates, PA | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Diagnostic Radiology Physician
- Broomall, PA
- NPI 1245223817
-
- Diagnostic Radiology Physician
- Bryn Mawr, PA
- NPI 1457351314
-
- Diagnostic Radiology Physician
- Trevose, PA
- NPI 1134112790
-
- Diagnostic Radiology Physician
- Langhorne, PA
- NPI 1376536821
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1952394363
-
- Diagnostic Radiology Physician
- Bryn Mawr, PA
- NPI 1962458034
-
- Radiology Clinic/Center
- Vineland, NJ
- NPI 1457370694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1790773174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 HAINESPORT MOUNT LAUREL RD",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080549501",
"telephone_number": "856-778-7301",
"fax_number": "856-552-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E CITY AVE",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041708",
"telephone_number": "610-668-3505",
"fax_number": "610-668-3509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOREN",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD021884E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1790773174",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.