Individual provider Active NPI

Lindsey Goyal

  • Otolaryngology Physician
  • Perth Amboy, NJ
National Provider Identifier
1851753859
Registry record updated Aug 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
207Y00000X Issued in PA
Practice address
528 Amboy Ave
Perth Amboy, NJ 08861-3118
Phone
(848) 209-6362
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 207Y00000X PA Primary

Addresses

Primary practice location

528 Amboy Ave
Perth Amboy, NJ 08861-3118

Mailing address

528 Amboy Ave
Perth Amboy, NJ 08861-3118
Phone (848) 209-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220124002966 NJ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 7517359557 Reassigns benefits to 1 organization
I20220802000701 NY Practitioner - Otolaryngology 7517359557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of Ny Upstate Medical University, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Syracuse Otolaryngology PLLCGroup PAC ID 0749403863, 4 clinicians

Practice addresses (Care Compare)

101 Richmond Ave
Suite 320
Syracuse, NY 13204-2298
Phone (315) 254-2030

528 Amboy Ave
Perth Amboy, NJ 08861-3118
Phone (848) 209-6363

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207Y00000XPAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Otolaryngology PLLC Otolaryngology CurrentSince Jan 1, 2022 Accepting new patients

Locations

528 Amboy Ave
Perth Amboy, NJ 08861
Phone (732) 442-1006

101 Richmond Ave
Ste 320
Syracuse, NY 13204
Phone (315) 254-2030

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1851753859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 AMBOY AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613118",
            "telephone_number": "848-209-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 AMBOY AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613118",
            "telephone_number": "848-209-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "207Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.