1003848805 NPI number — DR. ALOK GOYAL M.D.

Table of content: DR. ALOK GOYAL M.D. (NPI 1003848805)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003848805 NPI number — DR. ALOK GOYAL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOYAL
Provider First Name:
ALOK
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003848805
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/10/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2509 PARK AVE
Provider Second Line Business Mailing Address:
SUITE#1A
Provider Business Mailing Address City Name:
SOUTH PLAINFIELD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07080-5300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-668-8290
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2509 PARK AVE
Provider Second Line Business Practice Location Address:
SUITE#1A
Provider Business Practice Location Address City Name:
SOUTH PLAINFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07080-5300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-668-8290
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  MA053184 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X , with the licence number: MA053184 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1303104 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: UP021 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 223040386 . This is a "BLUE CROSS BLUE SHIELD PRIMARY CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223040386A . This is a "BLUE CROSS BLUE SHEILD SPECIALIST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0K5073 . This is a "HEALTHNET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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