Physician Compare National (NPI:1154365591)

HEALTHCARE PROVIDER: JEFFREY A MARGOLIS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154365591
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092882407
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080927000095
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARGOLIS
	Individual professional last name
Provider First Name	JEFFREY
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GOSHEN MEDICAL CENTER INCORPORATED
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3173434479
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	31
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2701 MEDICAL OFFICE PL
	Group Practice or individual's line 1 address
City	GOLDSBORO
	Group Practice or individual's city
State	NC
	Group Practice or individual's state
Zip Code	275349458
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9197398680
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y