Individual provider · Type 1 NPI

Aviva Goldberg

Family Nurse Practitioner · Lakewood, NJ

NPI number 1225680580 Active

Practice location

450 E Kennedy Blvd
Lakewood, NJ 08701-1488

Mailing address

1201 River Ave Unit 10
Lakewood, NJ 08701-5676

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X26NJ0081200 (NJ)
Family Nurse Practitioner Primary 363LF0000X26NJ00881200 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1225680580

Aviva Goldberg's National Provider Identifier is 1225680580, issued on Jul 16, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lakewood, NJ. The record was last updated on Aug 14, 2025.