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NPI · 1104535772 · NPPES-sourced

Olivia Goldberg Pac

ActivePhysician Assistant
NPI Number
1104535772
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(609) 921-9001
License NJ · 25MP00760400
Last Updated
Enumerated
Primary practice addressNJ · 07728-2537
901 W Main St Ste 267Freehold, NJ 07728-2537
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About this NPIWhat this record shows.

NPI 1104535772 is registered to Olivia Goldberg Pac, a Physician Assistant practising at 901 W Main St Ste 267 in Freehold, New Jersey. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Olivia Goldberg Pac has been enumerated in the National Provider Identifier (NPI) registry since 2022.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Olivia Goldberg Pac accepts. To confirm in-network status with your specific health plan, contact Olivia Goldberg Pac directly at (609) 921-9001.

Frequently asked

Yes. NPI 1104535772 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (609) 921-9001.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Olivia Goldberg Pac is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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