1467457226 NPI number — DR. MADHU B GOYAL M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467457226 NPI number — DR. MADHU B GOYAL M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

GOYAL

Provider First Name:

MADHU

Provider Middle Name:

B

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

F

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:

1467457226

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

09/23/2011

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

1111 COOPER RD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

SCOTCH PLAINS

Provider Business Mailing Address State Name:

NJ

Provider Business Mailing Address Postal Code:

07076-2805

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

908-769-0307

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

904 OAK TREE AVE

Provider Second Line Business Practice Location Address:

STE M

Provider Business Practice Location Address City Name:

SOUTH PLAINFIELD

Provider Business Practice Location Address State Name:

NJ

Provider Business Practice Location Address Postal Code:

07080-5126

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

908-757-1414

Provider Business Practice Location Address Fax Number:

908-757-3317

Provider Enumeration Date:

06/17/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207R00000X , with the licence number:  25MA03651800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 111854000 . This is a "AMERIHEALTH HMO" identifier . This identifiers is of the category "OTHER".
• Identifier: 020613322 . This is a "HORIZON BCBS OF NJ" identifier . This identifiers is of the category "OTHER".
• Identifier: 020613322001 . This is a "QUALCARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 1041262 . This is a "HORIZON NJ HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: MIL00016301 . This is a "AMERICHOICE OF NJ" identifier . This identifiers is of the category "OTHER".
• Identifier: 2K4697 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
• Identifier: 520762 . This is a "AMERIHEALTH PPO" identifier . This identifiers is of the category "OTHER".
• Identifier: 2206330 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 530537 . This is a "UNITED HEATHCARE GROUP" identifier . This identifiers is of the category "OTHER".
• Identifier: 8218368 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
• Identifier: 4114699 . This is a "AETNA HEALTHCARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 198AY1 . This is a "EMPIRE BCBS" identifier . This identifiers is of the category "OTHER".
• Identifier: 3718301 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
• Identifier: P2752619 . This is a "OXFORD HEALTH PLANS" identifier . This identifiers is of the category "OTHER".