Dr. Grigory R Goldberg
Orthopaedic Spine Surgeon
1200 Eagle Ave
Ocean
, New Jersey 07712-7631
Dr. Grigory R Goldberg
Orthopaedic Spine Surgeon
1200 Eagle Ave
Ocean
, New Jersey 07712-7631
(732) 660-6200
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. Grigory R Goldberg
- 1200 Eagle Ave
- Ocean, NJ
- Zip : 07712-7631
- Phone : (732) 660-6200
Second Address
- Dr. Grigory R Goldberg
- 1200 Eagle Ave
- Ocean, NJ
- Zip : 07712-7631
- Fax : (732) 660-6201
- Phone : (732) 660-6200
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Is Dr. Grigory R Goldberg a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 25MA08514200 | NJ |
| N | 207XS0117X | Orthopaedic Spine Surgeon | 35-089481 | OH |
| N | 207XS0117X | Orthopaedic Spine Surgeon | 39810 | KY |
National Provider Identifier
| NPI | 1033142112 |
|---|---|
| Provider Name | Dr. Grigory R Goldberg |
| First Address | Ocean, NJ 07712-7631 |
| Second Address | Ocean, NJ 07712-7631 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2006 |
| Last Update Date | 30/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000485763 | ANTHEM (01) | KY |
| 000000526432 | ANTHEM (01) | OH |
| 165869 | NATIONWIDE (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.