Organization Active NPI

Robert M Goldberg MD PA

  • Hematology & Oncology Physician
  • Somers Point, NJ
National Provider Identifier
1912060641
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA03237200 Issued in NJ
Legal business name
ROBERT M GOLDBERG MD PA
Practice address
727 Shore Rd
Somers Point, NJ 08244-2356
Phone
(609) 927-3772
Fax
(609) 926-3543
NPI assigned
Dec 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Robert M Goldberg, M.D.NPI 1215054168
Title
President
Phone
(609) 927-3772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 25MA03237200 NJ Primary

Addresses

Primary practice location

727 Shore Rd
Somers Point, NJ 08244-2356

Mailing address

727 Shore Rd
Somers Point, NJ 08244-2356
Phone (609) 927-3772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080409000340 NJ Part B Supplier - Clinic/Group Practice 8123105574 Receives reassigned benefits from 1 practitioner
Practice locations: Somers Point, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0120662Robert M Goldberg MD PA727 Shore Road, Somers Point, NJ 08244ComplianceMay 14, 2027

National Provider Directory

National Provider Directory

Locations

727 Shore Rd
Somers Point, NJ 08244
Phone (609) 927-3772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1912060641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442356",
            "telephone_number": "609-927-3772",
            "fax_number": "609-926-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442356",
            "telephone_number": "609-927-3772",
            "fax_number": "609-926-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M GOLDBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-17",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-927-3772",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA03237200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.