Active NPI
Arthur I Goldberg, M.D.
- Specialist
- New York, NY
National Provider Identifier
1023071487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 107855
- Practice address
- 945 5TH Ave Ofc 6
New York, NY 10021-2667 - Phone
- (212) 249-0030
- Fax
- (212) 744-2413
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 107855 | NY | Primary |
Addresses
Primary practice location
945 5TH Ave Ofc 6
New York, NY 10021-2667
Mailing address
1500 Route 112
BLDG 4
Port Jefferson Station, NY 11776-8055
Phone (631) 751-3000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133005891 | Other | NY | TAX ID |
| 971001 | Other | NY | EMPIRE BLUE CROSS SHEILD |
| 13-3005891 | Other | NY | TAX ID |
| NS3165 | Other | NY | OXFORD HEALTH PLAN ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1023071487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 ROUTE 112",
"address_2": "BLDG 4",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117768055",
"telephone_number": "631-751-3000",
"fax_number": "631-509-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 5TH AVE OFC 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212667",
"telephone_number": "212-249-0030",
"fax_number": "212-744-2413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "ARTHUR",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "107855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "133005891",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS SHEILD",
"identifier": "971001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "13-3005891",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN ID",
"identifier": "NS3165",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.