Individual provider Active NPI

Ajay Goyal, MD

  • Surgery Physician
  • Springfield, NJ
National Provider Identifier
1922196815
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA07495000 Issued in NJ
Practice address
193 Morris Ave
2ND Floor
Springfield, NJ 07081-1211
Phone
(908) 481-1270
Fax
(908) 688-8861
NPI assigned
Oct 10, 2006
Last updated
Feb 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA07495000 NJ Primary

Addresses

Primary practice location

193 Morris Ave
2ND Floor
Springfield, NJ 07081-1211

Mailing address

193 Morris Ave
2ND Floor
Springfield, NJ 07081-1211
Phone (908) 481-1270

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
I20040429000141 NJ Practitioner - General Surgery 9830186022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of Ny Upstate Medical University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

193 Morris Ave
Springfield, NJ 07081-1211
Phone (908) 481-1270

79 Hudson St
Hoboken, NJ 07030-5638
Phone (908) 481-1270

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Laparoscopic Surgery Institute, PC Surgery CurrentSince Mar 15, 2010 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Neurophysiological Monitoring LLC Past Accepting new patients
Surgical Associates of Hudson County, P.a. Past Accepting new patients
New Jersey Spine Center, LLC Past Accepting new patients

Locations

79 Hudson St
Hoboken, NJ 07030
Phone (201) 792-1170

79 Hudson St
Ste 301
Hoboken, NJ 07030
Phone (908) 481-1270

193 Morris Ave
Springfield, NJ 07081
Phone (908) 481-1270

193 Morris Ave
#2
Springfield, NJ 07081
Phone (201) 456-5657

700 Rahway Ave
Union, NJ 07083
Phone (908) 688-1991

Interoperability endpoints

  • Direct secure messaging: agoyal53735@epicdirect.rwjbh.org
  • Direct secure messaging: ajay.goyal@direct.christhospital.md

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1922196815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 MORRIS AVE",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811211",
            "telephone_number": "908-481-1270",
            "fax_number": "908-688-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MORRIS AVE",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811211",
            "telephone_number": "908-481-1270",
            "fax_number": "908-688-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "AJAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07495000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.