DR. MADHU GOYAL M.D.
NPI 1538102413
Pediatrics in South Plainfield, NJ

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
2509 PARK AVE, SUITE#1A, SOUTH PLAINFIELD, NJ 07080(908) 668-8290(908) 561-4914 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Madhu Goyal M.d. NPPES

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

DR. MADHU GOYAL M.D. (NPI 1538102413) is an individual pediatrics provider in South Plainfield, New Jersey, licensed in New Jersey (MA055524) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Perth Amboy, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1538102413
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MADHU GOYALCredential: M.D.
Location Address2509 PARK AVE, SUITE#1ASouth Plainfield, NJ 07080-5300
Mailing Address2509 Park Ave, Ste1aSouth Plainfield, NJ 07080-5300 · (908) 668-8290 · Fax (908) 561-4914
Fax(908) 561-4914
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJune 14, 2006
Last NPPES UpdateJanuary 12, 2022
NPPES CertifiedJanuary 10, 2022
NPI 1538102413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NJ · MA055524
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 25MA05552400 (NJ)
2509 PARK AVE, South Plainfield, NJ 07080

Secondary Practice Location 1

Location 1491 New Brunswick AvePerth Amboy, NJ 08861-3653 · Phone (732) 324-8033

Other Identifiers 1

Other222842501NJ · Bcbs

Accepted Insurance

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

Dr. Madhu 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 ID547273971
PECOS Enrollment IDI20060801000104
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 3

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 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.
39 services27 patients
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.
25 services20 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.
12 services12 patients

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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

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.

Internal Medicine
2509 PARK AVE, SUITE#1A
SOUTH PLAINFIELD, NJ 07080
Internal Medicine (Gastroenterology)
2509 PARK AVE, SUITE#1A
SOUTH PLAINFIELD, NJ 07080
Community/Behavioral Health
2509 PARK AVE
SOUTH PLAINFIELD, NJ 07080
Clinic/Center
2509 PARK AVE, SUITE 2C
SOUTH PLAINFIELD, NJ 07080
Psychologist (Cognitive & Behavioral)
2509 PARK AVE
SOUTH PLAINFIELD, NJ 07080
Physician Assistant (Medical)
2509 PARK AVE, SILVER ZONE-6TH FLOOR
SOUTH PLAINFIELD, NJ 07080
Orthopaedic Surgery
2509 PARK AVE, SUITE 2A
SOUTH PLAINFIELD, NJ 07080
General Practice
2509 PARK AVE, SUITE 2D
SOUTH PLAINFIELD, NJ 07080

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 Madhu Goyal's NPI number?

The NPI number for Madhu Goyal is 1538102413. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Madhu Goyal located?

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

What is Madhu Goyal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Madhu Goyal enrolled in Medicare?

Yes. Madhu 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.

What insurance does Madhu Goyal accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Madhu 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.

When was this NPI record last updated?

The NPPES record for Madhu Goyal was last updated on January 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.