OLIVIA GOLDBERG PAC
NPI 1104535772
Physician Assistant in Freehold, NJ

Q: What is Olivia Goldberg's NPI number?

The NPI number for Olivia Goldberg is 1104535772. It was assigned to this individual provider in the NPPES registry on November 22, 2022.

Q: What is Olivia Goldberg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Goldberg was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 22, 2022PECOS EnrolledAccepts Medicare Assignment

901 W MAIN ST STE 267, FREEHOLD, NJ 07728(609) 921-9001 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2023, Nov 22, 2022 (2 updates tracked since 2022).

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About Olivia Goldberg Pac NPPES

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

OLIVIA GOLDBERG PAC (NPI 1104535772) is an individual physician assistant in Freehold, New Jersey, licensed in New Jersey (25MP00760400) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Abington Memorial Hospital, and maintains a secondary practice location in Newtown.

NPPES Registry Identity

NPI1104535772

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameOLIVIA GOLDBERGCredential: PAC

Location Address901 W MAIN ST STE 267Freehold, NJ 07728-2537

Mailing Address901 W Main St Ste 267Freehold, NJ 07728-2537 · (609) 921-9001

Phone(609) 921-9001

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 22, 2022

Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2023

✔ NPI 1104535772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NJ · 25MP00760400✔ Licensed in PA · MA064308

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

901 W MAIN ST STE 267, Freehold, NJ 07728

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Secondary Practice Location 1

Location 1104 Pheasant Run Ste 105Newtown, PA 18940-3439 · Phone (215) 741-3141

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olivia Goldberg Pac 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 ID4688045644

PECOS Enrollment IDI20230130002588

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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390231

Location1200 Old York RoadAbington, PA 19001 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

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

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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.

NIDHI KAKAR P.A

Physician Assistant (Medical)