Active NPI
Aaron D Goldberg MD CHTD
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1033355417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G33974
- Legal business name
- AARON D GOLDBERG MD CHTD
- Practice address
- 2835 Smith Avenue
Suite 207
Baltimore, MD 21209-1462 - Phone
- (410) 358-4243
- NPI assigned
- Jan 6, 2009
- Last updated
- Oct 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aaron D Goldberg
- Title
- Physician
- Phone
- (410) 358-4243
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G33974 | MD | Primary |
Addresses
Primary practice location
2835 Smith Avenue
Suite 207
Baltimore, MD 21209-1462
Mailing address
2835 Smith Avenue
Suite 207
Baltimore, MD 21209-1462
Phone (410) 358-4243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208771500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1104836345
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1093017659
-
- Medical Physician Assistant
- Baltimore, MD
- NPI 1326480716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1033355417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 SMITH AVENUE",
"address_2": "SUITE 207",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212091462",
"telephone_number": "410-358-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 SMITH AVENUE",
"address_2": "SUITE 207",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212091462",
"telephone_number": "410-358-4243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AARON D GOLDBERG MD CHTD",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-06",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "410-358-4243",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "G33974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208771500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.