Physician Compare National (NPI:1790764645)

HEALTHCARE PROVIDER: MERYL GOLDBERG MSW

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

Individual Professional Information
NPI	1790764645
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709132251
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180713000537
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOLDBERG
	Individual professional last name
Provider First Name	MERYL
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	746 HWY 34
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	MATAWAN
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	077476680
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7322648878245
	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