Susan L. Goldfarb, DMD,PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI01311800 Issued in NJ

Practice address

1181 River Rd
Teaneck, NJ 07666-2015

Phone

(201) 692-1510

Fax

(201) 692-9840

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 11, 2015 through Sep 11, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Susan L. Goldfarb, DMD PC

  • Periodontics
  • Teaneck, NJ
  • NPI 1285654780
  NPD (past) Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1811918378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 RIVER RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662015",
            "telephone_number": "201-692-1510",
            "fax_number": "201-692-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 RIVER RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662015",
            "telephone_number": "201-692-1510",
            "fax_number": "201-692-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFARB",
        "first_name": "SUSAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DMD,PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI01311800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "038870",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INCORPORATED NPI NUMBER",
            "identifier": "1285654780",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Goldberg, OTR/L
• Kenneth Ardell Golden Sr., L.M.S.W.
• Pearl Goldenberg
• Alexander Steven Goldenthal
• Joel P Goldfarb, M.D.
• Binyamin L Goldman, PSYD, CSP
• Raimonda Goldman, D.O.
• Susan L Goldman, LCSW
• Linda Goldmintz, MSW, DSW
• Audrey E Goldrich, PSYD.

• Periodontics in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.