Healthcare Provider Details

I. General information

NPI: 1134050388
Provider Name (Legal Business Name): MR. JOSHUA AARON GOLDBERG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 HIGHWAY 138 STE 307
WALL TOWNSHIP NJ
07719-3764
US

IV. Provider business mailing address

15 BARN SWALLOW BLVD
MARLBORO NJ
07746-2523
US

V. Phone/Fax

Practice location:
  • Phone: 732-239-0599
  • Fax:
Mailing address:
  • Phone: 561-558-3925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: