Karla Jose Perez-goldberg, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Passaic, New Jersey. Her current practice location is
293 Main Ave, Passaic, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 471-0099.
Karla Jose Perez-goldberg is licensed to practice in New Jersey (license number 06993) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760877856.
Healthcare Provider's Profile
| Full Name | Karla Jose Perez-goldberg |
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| Gender | Female |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 293 Main Ave, Passaic, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760877856
- Provider Enumeration Date: 04/06/2015
- Last Update Date: 08/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658618848
- Enrollment ID: I20190125001469
Medical Identifiers
Medical identifiers for Karla Jose Perez-goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760877856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22D102627400 (New Jersey) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 060264-01 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 06993 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Karla Jose Perez-goldberg is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Karla Jose Perez-goldberg, DDS
293 Main Ave,
Passaic, NJ 07055
Ph: (973) 471-0099 | Karla Jose Perez-goldberg, DDS
293 Main Ave,
Passaic, NJ 07055
Ph: (973) 471-0099 |
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