| Samuel F Goldenberg, MD/ | |
|
2401 E Evesham Rd, Suite F, Voorhees, NJ 08043-9590 | |
| (856) 673-1615 | |
| (856) 424-7621 |
| Full Name | Samuel F Goldenberg |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2401 E Evesham Rd, Voorhees, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619977642 | NPI | - | NPPES |
| 4601505 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MA056572 (New Jersey) | Primary |
| Entity Name | Atlanticare Physician Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
| Entity Name | Atlanticare Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568663250 PECOS PAC ID: 0648181578 Enrollment ID: O20040622000289 |
| Entity Name | New Jersey Urology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588822423 PECOS PAC ID: 1456410638 Enrollment ID: O20081103000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel F Goldenberg, MD/ 2401 E Evesham Rd, Suite F, Voorhees, NJ 08043-9590 Ph: (856) 673-1615 | Samuel F Goldenberg, MD/ 2401 E Evesham Rd, Suite F, Voorhees, NJ 08043-9590 Ph: (856) 673-1615 |
Dr. Zarine Rohinton Balsara, MD/PHD Urology Medicare: Not Enrolled in Medicare Practice Location: 200 Bowman Dr Ste E360, Voorhees, NJ 08043 Phone: 856-751-7880 Fax: 856-751-9133 | |
Dr. Brijesh Patel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 136 Route 73 Ste A, Voorhees, NJ 08043 Phone: 877-388-2778 Fax: 856-424-7529 | |
Jonathan A Roth, M.D. Urology Medicare: Medicare Enrolled Practice Location: 200 Bowman Dr, Suite E360, Voorhees, NJ 08043 Phone: 856-751-7880 | |
Dr. Jayram Krishnan, D.O., M.B.A. Urology Medicare: Accepting Medicare Assignments Practice Location: 136 Route 73, Voorhees, NJ 08043 Phone: 877-388-2778 Fax: 856-424-7529 | |
Mark L Fallick, MD Urology Medicare: Medicare Enrolled Practice Location: 2401 E Evesham Rd, Suite F, Voorhees, NJ 08043 Phone: 856-673-1615 Fax: 856-424-7621 | |
Gregory E Dean, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr, Suite E-360, Voorhees, NJ 08043 Phone: 856-751-7880 | |
Dr. James C Sipio, M.D. Urology Medicare: Medicare Enrolled Practice Location: 2401 E Evesham Rd, Suite F, Voorhees, NJ 08043 Phone: 856-673-1600 Fax: 856-424-7621 |