CHARLES S GOLDBERG MD PA (NPI# 1194986943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194986943 |
| Entity Type | Organization |
| Organization Name | CHARLES S GOLDBERG MD PA |
| Practice Address |
127 Pine St Montclair NJ 07042-4855 |
| Practice Telephone | 9732339559 |
| Mailing Telephone | 9732339559 |
| Mailing Fax Number | 9732339660 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-08-22 |
| Authorized Official Name | DR. CHARLES S GOLDBERG (PRESIDENT) |
| Authorized Official Telephone | 9732339559 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MA041455 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
127 PINE ST |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-4855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891796769 | Charles E Sagorin | Internal Medicine | 127 Pine St, Montclair, NJ 07042-4855 | 2005-08-02 |
| 1932509965 | Elise Carman, Md, PC | Obstetrics & Gynecology | 127 Pine St, Suite 10, Montclair, NJ 07042-4855 | 2014-08-27 |
| 1639418981 | Nicholas A. Cannarozzi, M.d., P.a. | Internal Medicine | 127 Pine St, Montclair, NJ 07042-4855 | 2013-02-06 |
| 1568776474 | F. Dana Fortunato Md Pa | Internal Medicine | 127 Pine St, Montclair, NJ 07042-4855 | 2010-08-03 |
| 1407095896 | Elise Carman Mdpc | Obstetrics & Gynecology | 127 Pine St, Suite 5, Montclair, NJ 07042-4855 | 2009-02-10 |
| 1043455314 | Ponzio Medical Associates | Internal Medicine | 127 Pine St, Suite 10, Montclair, NJ 07042-4855 | 2008-12-15 |
| 1649487471 | Mark A. Fisher, Md, Pa | Obstetrics & Gynecology | 127 Pine St, Suite 5, Montclair, NJ 07042-4855 | 2007-05-17 |
| 1578677571 | William Clavis Warren | Dentist | 127 Pine St, Suite 3, Montclair, NJ 07042-4855 | 2006-08-18 |
| 1548278930 | Franklin Dana Fortunato | Internal Medicine | 127 Pine St, Montclair, NJ 07042 | 2006-08-03 |
| 1538190756 | Dora Pinky Barnes | Internal Medicine | 127 Pine St, Suite 10, Montclair, NJ 07042-4855 | 2006-07-05 |
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| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164443958 | Charles S Goldberg | Internal Medicine | 127 Pine Street, Montclair, NJ 07042 | 2006-07-21 |
| 1346240207 | Victor W Groisser | Internal Medicine | 21 Plymouth St, Montclair, NJ 07042-2607 | 2005-07-21 |
| 1285893321 | Rini Abraham | Internal Medicine | 88 Park St, Montclair, NJ 07042-5915 | 2008-06-04 |
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| 1063908739 | Hemorrhoids Usa Pa | Internal Medicine | 300b Princeton Hightstown Rd Ste 206a, East Windsor, NJ 08520-1400 | 2018-07-06 |
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| 1043726821 | Gi Endoscopy Practice LLC | Internal Medicine | 44 State Rt 23 Ste 7, Riverdale, NJ 07457-1603 | 2017-12-15 |
| 1326553033 | Richard G Pizzano | Internal Medicine | 135 Bloomfield Ave Ste K, Bloomfield, NJ 07003-5902 | 2017-12-05 |
| 1609387109 | Medigest Healthcare Services LLC | Internal Medicine | 1030 Saint Georges Ave Ste 103a, Avenel, NJ 07001-1330 | 2017-10-24 |
| 1306372578 | Advocare Allied Gastrointestinal Associates | Internal Medicine | 401 Route 73 N, Bldg 10, Ste 320, Lake Center Executive Park, Marlton, NJ 08053 | 2017-05-10 |
| 1144779133 | East Brunswick Endoscopy Center Inc | Internal Medicine | 385 Highway 18, East Brunswick, NJ 08816-5703 | 2016-10-01 |
| 1841651965 | Kovil Ramaswamy Md Pa | Internal Medicine | 534 Avenue E Ste 1-a, Bayonne, NJ 07002-3987 | 2016-03-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.