GOLDSON MEDICAL ASSOCIATES, LLC
NPI 1184668485
Internal Medicine in South Orange, NJ
About Goldson Medical Associates, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLDSON MEDICAL ASSOCIATES, LLC (NPI 1184668485) is a healthcare organization registered as an internal medicine in South Orange, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 1, 2028, maintains a secondary practice location in Union, and lists Debra Natalia Goldson-prophete, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Goldson Medical Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Goldson Medical Associates, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Waiver 31D1057093
Goldson Medical Associates LLC · South Orange, NJFrequently 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 Goldson Medical Associates, LLC's NPI number?
The NPI number for Goldson Medical Associates, LLC is 1184668485. It was assigned to this organization in the NPPES registry on June 16, 2006.
Where is Goldson Medical Associates, LLC located?
Goldson Medical Associates, LLC is located at 20 Valley St Suite 320, South Orange, NJ 07079. The listed phone number is (973) 313-1113.
What is Goldson Medical Associates, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Goldson Medical Associates, LLC enrolled in Medicare?
Yes. Goldson Medical Associates, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Goldson Medical Associates, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Goldson Medical Associates, LLC, in Family Practice and Internal Medicine. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Goldson Medical Associates, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D1057093) is associated with this NPI, valid through August 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Goldson Medical Associates, LLC accept?
Health plans from Ambetter Health list Goldson Medical Associates, LLC 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.
When was this NPI record last updated?
The NPPES record for Goldson Medical Associates, LLC was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Goldson Medical Associates, Llc · NPI 1184668485
Internal Medicine organization in South Orange, New Jersey. Organization record, active in the CMS NPPES registry since June 16, 2006.
## Identity
- **NPI:** 1184668485 (Entity type: Organization)
- **Enumerated:** June 16, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Debra Goldson-Prophete, OWNER
## Practice location
- **Address:** 20 VALLEY ST, SUITE 320, South Orange, NJ 07079-2887
- **Phone:** (973) 313-1113 · **Fax:** (973) 313-1191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Family Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184668485) · Data from the CMS NPPES public registry.