Active NPIIndividual provider

Ms. Jennifer Goldberg, PA

Physician Assistant in Montclair, New Jersey

NPI Number1235149774
Practice location
51 Park St, Montclair, NJ 07042-3439
Fax
973-509-6939
Last updated
April 16, 2008

Jennifer Goldberg is a Physician Assistant based in Montclair, NJ. Jennifer Goldberg practices in Montclair, NJ and has the professional credentials of PA. The NPI Number for Jennifer Goldberg is 1235149774 and holds a License No. 25MP00030300 (NJ). The current practice location address for Jennifer Goldberg is 51 Park St, Montclair, NJ 07042-3439 and can be reached out via phone at 973-509-6900 and via fax at 973-509-6939.

Provider Profile Details

NPI Number
1235149774
Provider Name
Jennifer Goldberg
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
51 Park St, Montclair, NJ 07042-3439
Phone Number
973-509-6900
Fax Number
973-509-6939
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
-- Jennifer Cohen, PA (Former Name)
Provider Enumeration Date
August 8, 2006
Last Update Date
April 16, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Park St
Montclair, NJ 07042-3439
Zip
07042-3439
Phone Number
973-509-6900
Fax Number
973-509-6939
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
51 Park St
Montclair, NJ 07042-3439
City
Montclair
State
NJ
Zip
07042-3439
Phone Number
973-509-6900

License Information

License Number
25MP00030300
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jennifer Goldberg, PA?

The NPI number of Ms. Jennifer Goldberg, PA is 1235149774. It was assigned on August 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Jennifer Goldberg, PA?

Ms. Jennifer Goldberg, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00030300.

Where does Ms. Jennifer Goldberg, PA practice?

The practice location is 51 Park St, Montclair, NJ 07042-3439. The office can be reached at 973-509-6900 (phone) or 973-509-6939 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235149774 directly on the NPPES registry website.

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