Individual provider Active NPI

Scot E. Goldberg, D.O.

  • Diagnostic Radiology Physician
  • Newark, DE
National Provider Identifier
1033209176
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C2005963 Issued in DE
Practice address
J24 Omega Drive
Newark, DE 19713-2060
Phone
(302) 738-9100
Fax
(302) 738-9748
NPI assigned
Oct 12, 2006
Last updated
Dec 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C2005963 DE Primary

Addresses

Primary practice location

J24 Omega Drive
Newark, DE 19713-2060

Mailing address

1601 Milltown Rd
Suite 13
Wilmington, DE 19808-4027
Phone (302) 993-2330

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
C2005963DEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Koniver Fiss Mansoory MD PA Diagnostic Radiology CurrentSince May 1, 2018 Accepting new patients
Greentree Radiology Associates PC Diagnostic Radiology Past Accepting new patients
Broomall Radiology Associates PC Diagnostic Radiology Past Accepting new patients
Kamal B. Russell MD PC Diagnostic Radiology Past Accepting new patients
Greentree Radiology Associates PC Diagnostic Radiology Past Accepting new patients
Omega Nuclear LLC Past Accepting new patients
Imaging Professionals of Pennsylvania PC Diagnostic Radiology Past Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

40 Polly Drummond Hill Rd
Bldg 4
Newark, DE 19711
Phone (302) 737-5990

1701 Augustine Cut Off
Ste 4
Wilmington, DE 19803
Phone (302) 652-3016

3401 Brandywine Pkwy
Ste 102
Wilmington, DE 19803
Phone (302) 533-2160

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1033209176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD",
            "address_2": "SUITE 13",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084027",
            "telephone_number": "302-993-2330",
            "fax_number": "302-993-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J24 OMEGA DRIVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132060",
            "telephone_number": "302-738-9100",
            "fax_number": "302-738-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "SCOT",
        "middle_name": "E.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C2005963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.