Karla Jose Perez-goldberg, DDS in Passaic, NJ - Medicare Oral & Maxillofacial Surgery Provider

Karla Jose Perez-goldberg, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Passaic, New Jersey. Her current practice location is 293 Main Ave, Passaic, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 471-0099.

Karla Jose Perez-goldberg is licensed to practice in New Jersey (license number 06993) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760877856.

Contact Information

	Karla Jose Perez-goldberg, DDS
	293 Main Ave, Passaic, NJ 07055
	(973) 471-0099
	(973) 396-1840

Healthcare Provider's Profile

Full Name	Karla Jose Perez-goldberg
Gender	Female
Speciality	Oral & Maxillofacial Surgery
Location	293 Main Ave, Passaic, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760877856
Provider Enumeration Date: 04/06/2015
Last Update Date: 08/04/2023

Medicare PECOS Information:

PECOS PAC ID: 1658618848
Enrollment ID: I20190125001469

Medical Identifiers

Medical identifiers for Karla Jose Perez-goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760877856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	22D102627400 (New Jersey)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	060264-01 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
204E00000X	Oral & Maxillofacial Surgery	06993 (New Jersey)	Primary

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. Karla Jose Perez-goldberg 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 Address	Practice Location Address
Karla Jose Perez-goldberg, DDS 293 Main Ave, Passaic, NJ 07055 Ph: (973) 471-0099	Karla Jose Perez-goldberg, DDS 293 Main Ave, Passaic, NJ 07055 Ph: (973) 471-0099

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Karla Jose Perez-goldberg, DDS - Medicare in Passaic, NJ