DR. LANCE L GOOBERMAN (NPI# 1194998682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194998682 |
| Entity Type | Individual |
| Full Name | DR. LANCE L GOOBERMAN |
| Credential | M.D. |
| Practice Address |
1 S Centre St #201 Merchantville NJ 08109-2213 |
| Practice Telephone | 8566634447 |
| Practice Fax Number | 8564886380 |
| Mailing Telephone | 8566634447 |
| Mailing Fax Number | 8564886380 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
25MA03819100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1 S CENTRE ST #201 |
| City | MERCHANTVILLE |
| State | NJ |
| Zip Code | 08109-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423406 | Phillip Aronow | Family Medicine | 1 S Centre St, Merchantville, NJ 08109-2213 | 2005-08-09 |
| 1023577731 | Milestone Addiction Treatment LLC | Substance Abuse Rehabilitation Facility | 1 S Centre St, Merchantville, NJ 08109-2213 | 2019-03-13 |
| 1205390622 | Merchantville Addiction Treatment LLC | Substance Abuse Rehabilitation Facility | 1 S Centre St, Merchantville, NJ 08109-2213 | 2019-01-30 |
| 1124291612 | John G Wilson | Obstetrics & Gynecology | 1 S Centre St, #201, Merchantville, NJ 08109-2213 | 2008-04-07 |
| 1598728552 | Nita H Kothari | Pediatrics | 1 S Centre St, Suite 100, Merchantville, NJ 08109-2213 | 2006-04-10 |
| 1194788067 | Leonard F Kaplan | Pediatrics | 1 S Centre St, Suite 100, Merchantville, NJ 08109-2213 | 2006-04-10 |
| 1740243187 | Esther R Harris | Pediatrics | 1 S Centre St, Suite 100, Merchantville, NJ 08109-2213 | 2006-04-07 |
| 1568424448 | Bruce D Gooberman | Pediatrics | 1 S Centre St, Suite 100, Merchantville, NJ 08109-2213 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730615543 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8301 Maple Ave, Pennsauken, NJ 08109 | 2017-05-11 |
| 1588085237 | Annie Nicole Fisher | Social Worker | 21 Merwit Court, Merchantville, NJ 08109 | 2013-12-26 |
| 1992013437 | Reliable Resources LLC | In Home Supportive Care | 211 West End Ave, Merchantville, NJ 08109 | 2010-09-17 |
| 1184942351 | Matt Lobel | Pharmacist | 14 South Cenre Street, Merchantville, NJ 08109 | 2010-05-12 |
| 1063662187 | Life At Lourdes Inc | PACE Provider Organization | 2475 Mcclellan Avenue, Pennsauken, NJ 08109 | 2008-09-25 |
| 1376712786 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 7980 S Crescent Boulevard, Pennsauken, NJ 08109 | 2008-02-29 |
| 1043488851 | Karen Claytor | Physical Therapist | 2626 Mandall Ave, Pennsauken, NJ 08109 | 2008-02-14 |
| 1235334814 | Marian W Mote | Nurse Practitioner | Merchantville Pediatrics- A Division of Cha, 1 S. Centre Street, Suite 100, Merchantville, NJ 08109 | 2007-06-15 |
| 1386865905 | Enrico Doganiero | Pharmacist | 6338 Browning Rd, Pennsauken, NJ 08109 | 2007-05-01 |
| 1710008164 | Michele Jo Hain | Physical Therapist | 6981 N Park Drive, Suite 102, Pennsaukin, NJ 08109 | 2007-04-03 |
| Find all providers in zip 08109 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407324940 | Omni Healthcare Services Inc. | Internal Medicine | 184 S Livingston Ave # 9272, Livingston, NJ 07039-3014 | 2018-11-02 |
| 1811388416 | Walnut Medical Group LLC | Internal Medicine | 60 Walnut Ave Ste 200, Clark, NJ 07066-1647 | 2015-02-18 |
| 1538474408 | Jerry Thomas Md and Associates | Internal Medicine | 134-6 Franklin Corner Road, Lawrenceville, NJ 08648-5246 | 2010-08-16 |
| 1811151269 | Joseph Durso Coffineau | Internal Medicine | 336 S Pitney Rd, Galloway, NJ 08205-9628 | 2008-07-15 |
| 1619051711 | David Canavan | Internal Medicine | Professional Assistance Program of Nj, 742 Alexander Road, Princeton, NJ 08650 | 2006-10-25 |
| 1245345743 | Michael S Deshields | Internal Medicine | 801 New York Ave, Trenton, NJ 08638-3913 | 2006-08-21 |
| 1285674010 | Peter O Kuponiyi | Internal Medicine | 2626 Tilton Rd, Egg Harbor Township, NJ 08234-1829 | 2006-06-08 |
| 1588647143 | David P Russo | Internal Medicine | 133 Polk Ln, Bridgeton, NJ 08302-5905 | 2005-11-28 |
| 1013475953 | Rejuvenation Center for Mind and Body | Internal Medicine | 555 Preakness Ave, Totowa, NJ 07502-1012 | 2019-03-11 |
| 1154851475 | Admed Centers LLC | Internal Medicine | 152 Central Ave, Clark, NJ 07066-1115 | 2017-06-19 |
| Find all providers with the same taxonomy | ||||
| City | MERCHANTVILLE |
| Zip Code | 08109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.