Srihari Gopal, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MA07166 Issued in NJ

Practice address

1000 Atlantic Ave
Camden, NJ 08104-1132

Phone

(856) 246-3036

Fax

(856) 246-3061

NPI assigned

May 31, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Hogarth Emergency Physicians

  • Emergency Medicine Physician
  • Newton, NJ
  • NPI 1770532343
  NPD (past)
• Ascension Seton

  • General Acute Care Hospital
  • Smithville, TX
  • NPI 1154612638
  NPD (past)
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD (past)
• Smithville Hospital Authority

  • General Acute Care Hospital
  • Smithville, TX
  • NPI 1801893417
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1811934946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739",
            "telephone_number": "856-686-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ATLANTIC AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041132",
            "telephone_number": "856-246-3036",
            "fax_number": "856-246-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "SRIHARI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA07166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Goodman
• Christina L. Goodwin, PHD
• Matthew Goodwin, LPN
• Tamara Goodwin, LPN
• Medha Gopal
• Stephen Thomas Gorda, DPM
• Candace Marie Gordon, PA-C
• Heidi V Gordon, MD
• Mara Gordon, MD
• Marilyn L Gordon, MD

• Emergency Medicine Physician in Camden, NJ
• Providers in Camden, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.