Howard S Goldberg, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

275903 Issued in NY

Practice address

10 Estate Dr
Fallsburg, NY 12733

Phone

(845) 434-4748

Fax

(845) 434-4748

NPI assigned

Oct 5, 2005

Last updated

Jun 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1033106927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ESTATE DR",
            "city": "FALLSBURG",
            "state": "NY",
            "postal_code": "127335038",
            "telephone_number": "845-434-4748",
            "fax_number": "845-434-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ESTATE DR",
            "city": "FALLSBURG",
            "state": "NY",
            "postal_code": "12733",
            "telephone_number": "845-434-4748",
            "fax_number": "845-434-4748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8631 W 3rd St",
            "address_2": "STE# 445E",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485901",
            "country_code": "US",
            "telephone_number": "310-659-7537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "HOWARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "275903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fallsburg CSD
• Fallsburg Pediatrics PC
• Fallsburg Quality Therapy, Corp.
• Brucha Malka Friedman
• Eryn Fritzsch
• Leah Aliza Goldblatt, LMSW
• Sosy S Gorelick, M.S.
• Esther J Gottlieb, FNP
• Shira Gottlieb, BSN
• Tzivia Gottlieb, OTR/L

• Internal Medicine Physician in Fallsburg, NY
• Providers in Fallsburg, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.