Provider Demographics
NPI:1316024003
Name:GOLDBERG, KAREN E (RD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:GOLDBERG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BAKER ST
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4601
Mailing Address - Country:US
Mailing Address - Phone:201-410-8501
Mailing Address - Fax:973-765-9366
Practice Address - Street 1:7 COLUMBIA TPKE
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2201
Practice Address - Country:US
Practice Address - Phone:973-765-9355
Practice Address - Fax:973-765-9366
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ912625133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ11543443OtherAETNA
NJ3423577000OtherAMERIHEALTH
NJ3739135OtherCIGNA
NJP3666127OtherOXFORD