Active NPI
Mark N Goldberg, M.D.
- Neurology Physician
- Miami Shores, FL
National Provider Identifier
1063434371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 26931
- Practice address
- 296 NE 99TH St
Miami Shores, FL 33138-2435 - Phone
- (305) 557-3300
- Fax
- (305) 756-9689
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 26931 | FL | Primary |
Addresses
Primary practice location
296 NE 99TH St
Miami Shores, FL 33138-2435
Mailing address
857 NE 98 Street
Miami Shores, FL 33138-2532
Phone (305) 557-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049846700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041119001031 | FL | Practitioner - Neurology | 2961467816 | Practice locations: Hialeah, FL; Miami, FL; North Miami, FL; North Miami Beach, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Albany Medical College of Union University, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1100 NW 95TH St
North Shore Hospital
Miami, FL 33150-2038
Phone (305) 835-6000
160 NW 170 St
Jackson North Medical Center
North Miami Beach, FL 33169-5521
Phone (305) 651-1100
651 E 25TH St
Hialeah Hospital
Hialeah, FL 33013-3878
Phone (305) 693-6100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26931 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Podiatry Institute P a | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Hialeah, FL
- NPI 1811929250
Hospital & facility affiliations 27
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hialeah, FL
- NPI 1235966276
-
- General Acute Care Hospital
- Lauderdale Lakes, FL
- NPI 1184440828
-
- General Acute Care Hospital
- Miami, FL
- NPI 1194552141
-
- General Acute Care Hospital
- Hialeah, FL
- NPI 1881412740
-
- General Acute Care Hospital
- Miami, FL
- NPI 1013959972
-
- Psychiatric Hospital Unit
- Miami, FL
- NPI 1043473093
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1578633707
Hospital
-
- Medical Specialty Clinic/Center
- Miami, FL
- NPI 1831263771
Hospital
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1033283445
Hospital
-
- General Acute Care Hospital
- North Miami Beach, FL
- NPI 1104857119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1063434371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 NE 98 STREET",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382532",
"telephone_number": "305-557-3300",
"fax_number": "305-756-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 NE 99TH ST",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382435",
"telephone_number": "305-557-3300",
"fax_number": "305-756-9689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "MARK",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "26931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049846700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.