Individual provider Active NPI

Alan W Goldfeder, M.D.

  • Ophthalmology Physician
  • Union, NJ
National Provider Identifier
1841256757
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA03485700 Issued in NJ
Practice address
1095 Morris Ave Ste 400
Liberty Hall II
Union, NJ 07083
Phone
(908) 686-2525
Fax
(908) 947-0630
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA03485700 NJ Primary
Ophthalmology Physician 207W00000X 34857 NJ

Addresses

Primary practice location

1095 Morris Ave Ste 400
Liberty Hall II
Union, NJ 07083

Mailing address

1095 Morris Ave Ste 400
Liberty Hall II
Union, NJ 07083
Phone (908) 686-2525

Other identifiers 1

IdentifierTypeStateIssuer
0426601MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000533 NJ Practitioner - Ophthalmology 5193816353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Clinic NJGroup PAC ID 8921199183, 3 clinicians

Practice addresses (Care Compare)

1095 Morris Ave
Suite 400
Union, NJ 07083-7172
Phone (908) 686-2525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34857NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Clinic NJ Ophthalmology CurrentSince Jun 30, 1989 Accepting new patients

Locations

155 Jefferson St
Newark, NJ 07105
Phone (973) 344-5498

1095 Morris Ave
Ste 400
Union, NJ 07083
Phone (908) 686-2525

2333 Morris Ave
Ste 111
Union, NJ 07083
Phone (646) 279-8836

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1841256757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 MORRIS AVE STE 400",
            "address_2": "LIBERTY HALL II",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-686-2525",
            "fax_number": "908-947-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 MORRIS AVE STE 400",
            "address_2": "LIBERTY HALL II",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-686-2525",
            "fax_number": "908-947-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFEDER",
        "first_name": "ALAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA03485700",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "34857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.