Active NPI
Alan W Goldfeder, M.D.
- Ophthalmology Physician
- Union, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA03485700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0426601 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34857 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Clinic NJ | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Union, NJ
- NPI 1467539791
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.