Neil Ellis Goldberg in South Orange - Primary Podiatric Medicine

Neil Ellis Goldberg - NPI 1538100185

Neil Ellis Goldberg is a Primary Podiatric Medicine in South Orange, New Jersey. Neil Ellis Goldberg practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Neil Ellis Goldberg is 1538100185. The last update date is 2021-01-09.

Neil Ellis Goldberg's current location address is 228 S Orange Ave, South Orange, New Jersey. You can contact this provider via phone number 9737629060 and fax number 9737625056. The mailing address for Neil Ellis Goldberg is 228 S Orange Ave, South Orange, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Neil Ellis Goldberg
Address 228 S Orange Ave, South Orange, New Jersey
Phone Number 9737629060
Fax Number 9737625056
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1538100185
Provider Enumeration Date 2006-06-08
Last Updated Date 2021-01-09

Provider Mailing Address Detail

Address 228 S Orange Ave
City South Orange
State New Jersey (NJ)
Post Code 70792202
Phone Number 9737629060
Fax Number 9737625056

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No 25MD00103900
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
857602 NJ --

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FAQs about Neil Ellis Goldberg

What is the unique provider identifier assigned to Neil Ellis Goldberg?

The Neil Ellis Goldberg has been issued the NPI (National Provider Identifier) 1538100185 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Neil Ellis Goldberg's facilities are situated?

The facilities of Neil Ellis Goldberg are physically located at the following address: 228 S Orange Ave, South Orange, NJ, 70792202.

What is Neil Ellis Goldberg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Neil Ellis Goldberg's specialized field of practice is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 213Ep1101X.

On what date did Neil Ellis Goldberg receive its 1538100185 assignment from the Centers for Medicare & Medicaid Services?

The Neil Ellis Goldberg was assigned its 1538100185 on 2006-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Neil Ellis Goldberg last refreshed?

The information related to the Neil Ellis Goldberg, including its address, specialty, and other relevant details, was last updated on 2021-01-09.

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