Dr. Neil Ellis Goldberg
Primary Podiatric Medicine
228 S Orange Ave
South Orange
, New Jersey 07079-2202
Dr. Neil Ellis Goldberg
Primary Podiatric Medicine
228 S Orange Ave
South Orange
, New Jersey 07079-2202
(973) 535-9060
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Neil Ellis Goldberg
- 9 Washington Ct
- Livingston, NJ
- Zip : 07039-2118
- Phone : (973) 535-9060
Second Address
- Dr. Neil Ellis Goldberg
- 228 S Orange Ave
- South Orange, NJ
- Zip : 07079-2202
- Fax : (973) 762-5056
- Phone : (973) 762-9060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 25MD00103900 | NJ |
National Provider Identifier
| NPI | 1538100185 |
|---|---|
| Provider Name | Dr. Neil Ellis Goldberg |
| First Address | Livingston, NJ 07039-2118 |
| Second Address | South Orange, NJ 07079-2202 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2006 |
| Last Update Date | 09/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0857602 | (05) | NJ |
| T77739 | (02) | NJ |
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.