Provider Demographics
NPI:1467457226
Name:GOYAL, MADHU B (MD)
Entity Type:Individual
Prefix:DR
First Name:MADHU
Middle Name:B
Last Name:GOYAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1111 COOPER RD
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2805
Mailing Address - Country:US
Mailing Address - Phone:908-769-0307
Mailing Address - Fax:
Practice Address - Street 1:904 OAK TREE AVE
Practice Address - Street 2:STE M
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5126
Practice Address - Country:US
Practice Address - Phone:908-757-1414
Practice Address - Fax:908-757-3317
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03651800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
111854000OtherAMERIHEALTH HMO
020613322OtherHORIZON BCBS OF NJ
020613322001OtherQUALCARE
1041262OtherHORIZON NJ HEALTH PLAN
MIL00016301OtherAMERICHOICE OF NJ
2K4697OtherHEALTHNET
520762OtherAMERIHEALTH PPO
2206330OtherCIGNA
530537OtherUNITED HEATHCARE GROUP
8218368OtherGHI
4114699OtherAETNA HEALTHCARE
198AY1OtherEMPIRE BCBS
NJ3718301Medicaid
P2752619OtherOXFORD HEALTH PLANS
020613322OtherHORIZON BCBS OF NJ