Goldberg, Neil Ellis

Goldberg, Neil Ellis is an individual health care provider with primary practice located at 228 S Orange Ave , South Orange NJ 07079-2202. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Goldberg, Neil Ellis can be contacted via phone (973) 762-9060.

Contact Information

Primary practice address
228 S Orange Ave South Orange NJ 07079-2202
Phone: (973) 762-9060
Fax: (973) 762-5056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 25MD00103900 New Jersey

Profile Details

NPI number 1538100185
LBN Legal business name Goldberg, Neil Ellis
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 9th, 2021 - about 3 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 1538100185 NPPES
New Jersey MEDICAID 0857602

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