Active NPIIndividual providerSole proprietor

Dr. Debra N Goldson-Prophete, MD

Internal Medicine in South Orange, New Jersey

NPI Number1831156819
Practice location
20 Valley Road, Suite 320, South Orange, NJ 07079
Fax
973-313-1191
Last updated
November 29, 2023

Debra N Goldson-Prophete is an Internal Medicine based in South Orange, NJ. Debra N Goldson-Prophete practices in South Orange, NJ and has the professional credentials of MD. The NPI Number for Debra N Goldson-Prophete is 1831156819 and holds a License No. 25MA07114700 (NJ). The current practice location address for Debra N Goldson-Prophete is 20 Valley Road, Suite 320, South Orange, NJ 07079 and can be reached out via phone at 973-313-1113 and via fax at 973-313-1191.

Provider Profile Details

NPI Number
1831156819
Provider Name
Debra N Goldson-Prophete
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
20 Valley Road, Suite 320, South Orange, NJ 07079
Phone Number
973-313-1113
Fax Number
973-313-1191
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 26, 2006
Last Update Date
November 29, 2023
Certification Date
November 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Valley Road
Suite 320
South Orange, NJ 07079
Zip
07079
Phone Number
973-313-1113
Fax Number
973-313-1191
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
20 Valley Road
Suite 320
South Orange, NJ 07079
City
South Orange
State
NJ
Zip
07079
Phone Number
973-313-1113
Fax Number
973-313-1191

License Information

License Number
25MA07114700
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Debra N Goldson-Prophete, MD?

The NPI number of Dr. Debra N Goldson-Prophete, MD is 1831156819. It was assigned on April 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Debra N Goldson-Prophete, MD?

Dr. Debra N Goldson-Prophete, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA07114700.

Where does Dr. Debra N Goldson-Prophete, MD practice?

The practice location is 20 Valley Road, Suite 320, South Orange, NJ 07079. The office can be reached at 973-313-1113 (phone) or 973-313-1191 (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 1831156819 directly on the NPPES registry website.

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