Individual provider Active NPI

Isabel Goldenberg, M.D.

  • Pediatric Adolescent Medicine Physician
  • Washington, DC
National Provider Identifier
1063530335
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD11473 Issued in DC
Practice address
800 21St Street, NW
Ground Floor
Washington, DC 20052
Phone
(202) 994-5300
Fax
(202) 994-2622
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MD11473 DC Primary

Addresses

Primary practice location

800 21St Street, NW
Ground Floor
Washington, DC 20052

Mailing address

800 21St Street, NW, Colonial Health Center
Ground Floor
Washington, DC 20052
Phone (202) 994-5300

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD11473DCMDPediatric Adolescent Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063530335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 21ST STREET, NW, COLONIAL HEALTH CENTER",
            "address_2": "GROUND FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20052",
            "telephone_number": "202-994-5300",
            "fax_number": "202-994-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 21ST STREET, NW",
            "address_2": "GROUND FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20052",
            "telephone_number": "202-994-5300",
            "fax_number": "202-994-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "DC",
            "license": "MD11473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.