Goldberg, Jacob R

Goldberg, Jacob R is an individual health care provider with primary practice located at 97 W Parkway , Pompton Plains NJ 07444-1647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Goldberg, Jacob R can be contacted via phone (973) 831-5000.

Contact Information

Primary practice address
97 W Parkway Pompton Plains NJ 07444-1647
Phone: (973) 831-5000
Fax: (973) 831-5432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 244749 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 244749 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25MA08706500 New Jersey

Profile Details

NPI number 1669670519
LBN Legal business name Goldberg, Jacob R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Nov 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669670519 NPPES
New York Other 0667910001 DME
New York Other P00421811 DME
New York MEDICAID 02888411 DME

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