MEDICARE: DR. MADHU B GOYAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA03651800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	111854000	OTHER	AMERIHEALTH HMO
2	020613322	OTHER	HORIZON BCBS OF NJ
3	020613322001	OTHER	QUALCARE
4	1041262	OTHER	HORIZON NJ HEALTH PLAN
5	MIL00016301	OTHER	AMERICHOICE OF NJ
6	2K4697	OTHER	HEALTHNET
7	520762	OTHER	AMERIHEALTH PPO
8	2206330	OTHER	CIGNA
9	530537	OTHER	UNITED HEATHCARE GROUP
10	8218368	OTHER	GHI
11	4114699	OTHER	AETNA HEALTHCARE
12	198AY1	OTHER	EMPIRE BCBS
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	P2752619	OTHER	OXFORD HEALTH PLANS

General Provider Information

NPI Number	:	1467457226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MADHU B GOYAL M.D.

Provider Business Mailing Address
First Line	:	1111 COOPER RD
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-2805
Country	:	US
Telephone Number	:	908-769-0307
Fax Number	:

Provider Business Practice Location Address
First Line	:	904 OAK TREE AVE
Second Line	:	STE M
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-5126
Country	:	US
Telephone Number	:	908-757-1414
Fax Number	:	908-757-3317

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	09/23/2011

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