Dr Madhu Goyal, MD - Medicare Pediatric Medicine in South Plainfield, NJ

Dr Madhu Goyal, MD is a medicare enrolled "Pediatrics" physician in South Plainfield, New Jersey. She graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice South Plainfield Primary Care and her current practice location is 2509 Park Ave, Suite#1a, South Plainfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 668-8290.

Dr Madhu Goyal is licensed to practice in New Jersey (license number MA055524) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538102413.

Contact Information

Dr Madhu Goyal, MD
2509 Park Ave, Suite#1a,
South Plainfield, NJ 07080-5300
(908) 668-8290
(908) 561-4914

Map and Direction




Physician's Profile

Full NameDr Madhu Goyal
GenderFemale
SpecialityPediatric Medicine
Experience39 Years
Location2509 Park Ave, South Plainfield, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Madhu Goyal graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1538102413
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 01/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547273971
  • Enrollment ID: I20060801000104

Medical Identifiers

Medical identifiers for Dr Madhu Goyal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538102413NPI-NPPES
222842501OtherNJBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 25MA05552400 (New Jersey)Secondary
208000000XPediatrics MA055524 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Plainfield Primary Care88200040474

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Madhu Goyal allows following entities to bill medicare on her behalf.
Entity NameSouth Plainfield Primary Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003847906
PECOS PAC ID: 8820004047
Enrollment ID: O20060227000011

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. Dr Madhu Goyal 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 AddressPractice Location Address
Dr Madhu Goyal, MD
2509 Park Ave, Ste1a,
South Plainfield, NJ 07080-5300

Ph: (908) 668-8290
Dr Madhu Goyal, MD
2509 Park Ave, Suite#1a,
South Plainfield, NJ 07080-5300

Ph: (908) 668-8290

Reviews and Comments


Pediatrics Doctors in South Plainfield, NJ

Dr. Rao V Vinnakota, M.D.,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2013 Park Ave, South Plainfield, NJ 07080
Phone: 908-753-2662    Fax: 908-753-2633
Dr. Joseph Solages, M.D. F.A.A.P.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1510 Park Ave, South Plainfield, NJ 07080
Phone: 908-754-2739    Fax: 908-226-1386
Dr. Subrahmanyam Ganti, M.D.,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 906 Oak Tree Ave, Suite E, South Plainfield, NJ 07080
Phone: 908-822-1181    Fax: 908-822-1480
Dr. Sanjay V Deshpande, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 285 Durham Ave Ste 2, South Plainfield, NJ 07080
Phone: 732-756-7500    
Kalpana Kumari, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 904 Oak Tree Ave Ste P, South Plainfield, NJ 07080
Phone: 908-205-0632    Fax: 908-205-0629
Fernando R Sitoy, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1630 New Durham Rd, South Plainfield, NJ 07080
Phone: 732-572-2990    Fax: 732-572-1900

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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