Active NPI
Jill E Goebel, RPA
- Physician Assistant
- Franklinville, NJ
National Provider Identifier
1982816260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00009500
- Practice address
- 116 Raymar Dr
Franklinville, NJ 08322-2800 - Phone
- (856) 740-2567
- NPI assigned
- May 7, 2007
- Last updated
- May 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00009500 | NJ | Primary |
| Physician Assistant | 363A00000X | 004115-1 | NY | |
| Physician Assistant | 363A00000X | MA052878 | PA |
Addresses
Primary practice location
116 Raymar Dr
Franklinville, NJ 08322-2800
Mailing address
116 Raymar Dr
Franklinville, NJ 08322-2800
Phone (856) 740-2567
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00009500 | NJ | MD | Physician Assistant |
| 004115-1 | NY | MD | Physician Assistant |
| MA052878 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exigence New Jersey, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Salem, NJ
- NPI 1376593137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210982400000",
"number": "1982816260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 RAYMAR DR",
"city": "FRANKLINVILLE",
"state": "NJ",
"postal_code": "083222800",
"telephone_number": "856-740-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 RAYMAR DR",
"city": "FRANKLINVILLE",
"state": "NJ",
"postal_code": "083222800",
"telephone_number": "856-740-2567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEBEL",
"first_name": "JILL",
"middle_name": "E",
"credential": "RPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2008-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00009500",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004115-1",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA052878",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklinville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.