DR. ALOK GOYAL M.D.
NPI 1003848805
Internal Medicine - Gastroenterology in South Plainfield, NJ

Q: What is Alok Goyal's NPI number?

The NPI number for Alok Goyal is 1003848805. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Alok Goyal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Alok Goyal was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 06, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 31D1010645 · Certificate of Compliance

2509 PARK AVE, SUITE#1A, SOUTH PLAINFIELD, NJ 07080(908) 668-8290 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Alok Goyal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALOK GOYAL M.D. (NPI 1003848805) is an individual gastroenterology provider in South Plainfield, New Jersey, licensed in New Jersey (MA053184) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through July 31, 2027, and is affiliated with St Joseph's University Medical Center Inc.

NPPES Registry Identity

NPI1003848805

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. ALOK GOYALCredential: M.D.

Location Address2509 PARK AVE, SUITE#1ASouth Plainfield, NJ 07080-5300

Mailing Address2509 Park Ave, Suite#1aSouth Plainfield, NJ 07080-5300 · (908) 668-8290

Phone(908) 668-8290

Sole ProprietorYes

Medical School CMSOtherGraduated 1984

Enumeration DateJuly 6, 2006

Last NPPES UpdateJanuary 10, 2022

NPPES CertifiedJanuary 10, 2022

✔ NPI 1003848805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NJ · MA053184

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MA053184 (NJ)

2509 PARK AVE, South Plainfield, NJ 07080

Open in Google Maps ↗

Other Identifiers 5

OtherUP021NJ · Oxford

Other223040386Blue Cross Blue Shield Primary Care

Other0K5073NJ · Healthnet

Medicaid1303104NJ

Other223040386ABlue Cross Blue Sheild Specialist

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alok Goyal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466468681

PECOS Enrollment IDI20071124000009

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Alok Goyal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alok Goyal, M.D.

Same address

Internal Medicine

2509 PARK AVE STE 1A
South Plainfield, NJ 07080

Reassigned Medicare billing, New Jersey enrollment
4 clinicians in this Medicare group

NPI 1144843483 (732) 713-4687

South Plainfield Primary Care

Same address

Internal Medicine

2509 PARK AVE, SUITE#1A
South Plainfield, NJ 07080

Reassigned Medicare billing, New Jersey enrollment
7 clinicians in this Medicare group

NPI 1003847906 (908) 756-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 31D1010645

Alok Goyal MD · South Plainfield, NJ

Active · expires Jul 31, 2027

CLIA Number31D1010645

Laboratory TypePhysician Office

Certificate Effective DateAugust 1, 2025

Certificate Expiration DateJuly 31, 2027

Laboratory DirectorBich N. Pham

Laboratory Phone(908) 668-8290

Laboratory LocationAlok Goyal MD2509 Park Avenue Suite 1A, South Plainfield, NJ 07080

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

892 services363 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

192 services180 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

186 services186 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

152 services113 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

93 services91 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

79 services79 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

60 services60 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

46 services46 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

38 services36 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

31 services31 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

26 services25 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

22 services17 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

18 services18 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

16 services16 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

14 services14 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

12 services12 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310039

Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

0%5,827 patients1/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

99%98 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

84%857 patients4/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

23%857 patients1/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

0%857 patients1/55-star benchmark: 79%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

20 suppliers73 claims135 services$5.52 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

13 suppliers28 claims35 services$0.83 avg. paid by Medicare

Intermittent urinary catheter, with insertion supplies A4353

DME-Orthotic Devices · category DF008N

1 supplier11 claims2,200 services$6.73 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers21 claims21 services$59.39 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier13 claims662 services$0.81 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers24 claims24 services$183.49 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH PLAINFIELD PRIMARY CARE

Internal Medicine

2509 PARK AVE, SUITE#1A
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 756-7200

MRS. HALIMAT S AKANBI

Community/Behavioral Health

2509 PARK AVE
SOUTH PLAINFIELD, NJ 07080

Middlesex County (551) 312-8522

GISELA MUNNE, M.D., LLC

Clinic/Center

2509 PARK AVE, SUITE 2C
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 755-0590

MR. DENNIS H SANDROCK

Psychologist (Cognitive & Behavioral)

2509 PARK AVE
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 753-1800

MISS CECIL F ALVAREZ PHYSICIAN ASSISTANT

Physician Assistant (Medical)

2509 PARK AVE, SILVER ZONE-6TH FLOOR
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 756-7200

DR. DAVID LESSING MD

Orthopaedic Surgery

2509 PARK AVE, SUITE 2A
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 226-8900

SALVATORE MILAZZO D.O.

General Practice

2509 PARK AVE, SUITE 2D
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 753-8622

CORNERSTONE SLEEP DIAGNOSTICS, INC

Clinic/Center (Sleep Disorder Diagnostic)

2509 PARK AVE
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 769-0101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alok Goyal's NPI number?

The NPI number for Alok Goyal is 1003848805. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Alok Goyal located?

Alok Goyal practices at 2509 Park Ave Suite#1a, South Plainfield, NJ 07080. The listed phone number is (908) 668-8290.

What is Alok Goyal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Alok Goyal enrolled in Medicare?

Yes. Alok Goyal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alok Goyal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alok Goyal reassigns Medicare benefits to 2 organizations: Alok Goyal, M.D. (South Plainfield, NJ) and South Plainfield Primary Care (South Plainfield, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alok Goyal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Alok Goyal hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D1010645) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alok Goyal accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Alok Goyal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alok Goyal affiliated with any hospitals?

According to CMS data, Alok Goyal is affiliated with St Joseph's University Medical Center Inc, Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Alok Goyal was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

About Dr. Alok Goyal M.d. NPPES

NPPES Registry Identity

Specialties & Licenses 2

Other Identifiers 5

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Medicare Billing Reassignments

CLIA Laboratory Certificates CMS CLIA

Certificate of Compliance · 31D1010645

Areas of Expertise CMS Part B claims 17

Hospital Affiliations CMS Care Compare 3

St Joseph's University Medical Center Inc

Raritan Bay Medical Center

Jfk Medical Center

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Reported Quality Measures

Referred Medical Equipment & Supplies CMS DME claims 7

Other Providers at the Same Location NPPES 15

Frequently Asked Questions NPPES & CMS

What is Alok Goyal's NPI number?

Where is Alok Goyal located?

What is Alok Goyal's specialty?

Is Alok Goyal enrolled in Medicare?

Which organizations bill Medicare for Alok Goyal's services?

Does Alok Goyal hold a CLIA laboratory certificate?

What insurance does Alok Goyal accept?

Is Alok Goyal affiliated with any hospitals?

When was this NPI record last updated?

Certificate of Compliance 31D1010645