NPIMap

Individual provider Active NPI

Vinobha Gooriah, M.D.

  • Psychiatry Physician
  • Trenton, NJ
National Provider Identifier
1912985565
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA06259400 Issued in NJ
Practice address
750 Brunswick Ave
Trenton, NJ 08638-5247
Phone
(609) 394-6205
Fax
(609) 943-5769
NPI assigned
Jan 4, 2006
Last updated
Oct 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA06259400 NJ Primary
Psychiatry Physician 2084P0800X MD054329L PA
Psychiatry Physician 2084P0800X 20064 NY

Addresses

Primary practice location

750 Brunswick Ave
Trenton, NJ 08638-5247

Mailing address

P.O. Box 8500-1611
Philadelphia, PA 19178-1611
Phone (609) 815-7810

Other identifiers 1

IdentifierTypeStateIssuer
6876102MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20064NYMDPsychiatry Physician
MD054329LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health System Psychiatry Past Accepting new patients
State of New Jersey Omb Centralized Payroll Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1912985565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8500-1611",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191781611",
            "telephone_number": "609-815-7810",
            "fax_number": "609-815-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BRUNSWICK AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086385247",
            "telephone_number": "609-394-6205",
            "fax_number": "609-943-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOORIAH",
        "first_name": "VINOBHA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06259400",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD054329L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "20064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6876102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.