Individual provider Active NPI

Lon Goldberg, D.O.

  • Emergency Medicine Physician
  • Branchburg, NJ
National Provider Identifier
1972574713
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MB46540 Issued in NJ
Practice address
3322 Rte 22
Building 1
Branchburg, NJ 08876-3476
Phone
(908) 704-0100
Fax
(908) 704-0900
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB04654000 NJ
Emergency Medicine Physician 207P00000X MB46540 NJ Primary

Addresses

Primary practice location

3322 Rte 22
Building 1
Branchburg, NJ 08876-3476

Mailing address

53 Stone Gate
Bridgewater, NJ 08807-1452
Phone (908) 704-0100

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
I20060223000674 NJ Practitioner - Emergency Medicine 8123009271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Associates LLCGroup PAC ID 3173504388, 2 clinicians

Practice addresses (Care Compare)

3322 US Hwy 22
Suite 1
Branchburg, NJ 08876-3476
Phone (908) 704-0100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB46540NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Apr 16, 2022 Accepting new patients
Access Medical Associates LLC Emergency Medicine CurrentSince Jun 1, 2003 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Apr 16, 2022 Accepting new patients
Emergency Medical Associates of New Jersey PA Emergency Medicine PastSince May 10, 2020 Accepting new patients
New Jersey Comprehensive Medical Services Past Accepting new patients

Locations

3322 US Highway 22 W
Bldg 1
Branchburg, NJ 08876
Phone (908) 704-0100

3322 US Highway 22
#1
Branchburg, NJ 08876
Phone (908) 704-0100

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

Organizations & group practices 5

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1972574713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 STONE GATE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071452",
            "telephone_number": "908-704-0100",
            "fax_number": "908-704-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 RTE 22",
            "address_2": "BUILDING 1",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763476",
            "telephone_number": "908-704-0100",
            "fax_number": "908-704-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "LON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB04654000",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB46540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

Verify at the official NPI Registry.