NPIMap

Organization Active NPI

Goldberg & Pellegrini, MD, P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1063636504
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GOLDBERG & PELLEGRINI, MD, P.C.
Practice address
380 88TH St
Brooklyn, NY 11209-5665
Phone
(718) 748-5482
Fax
(718) 748-3758
NPI assigned
Apr 13, 2007
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Mr. Baljinder Singh
Title
Billing Manager
Phone
(718) 782-6380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

380 88TH St
Brooklyn, NY 11209-5665

Mailing address

380 88TH St
Brooklyn, NY 11209-5665
Phone (718) 748-5482

Other practice location 1

2051 Flatbush Ave
Brooklyn, NY 11234-3523
Phone (718) 677-1000

Other practice location 2

3626 E Tremont Ave Ste 202
Bronx, NY 10465-2030
Phone (718) 597-9000

Other identifiers 1

IdentifierTypeStateIssuer
002322059MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100224000126 NY Part B Supplier - Clinic/Group Practice 2860381233 Receives reassigned benefits from 15 practitioners
Practice locations: Bronx, NY; Brooklyn, NY; Elmhurst, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0147933Goldberg & Pellegrini MD, PC380 88TH Street, Brooklyn, NY 11209Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Goldberg Pellegrini P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3626 E Tremont Ave
Ste 202
Bronx, NY 10465
Phone (718) 597-9000

380 88th St
Ste 1
Brooklyn, NY 11209

5814 Junction Blvd
Ste F4
Elmhurst, NY 11373
Phone (718) 271-8185

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1063636504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 88TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095665",
            "telephone_number": "718-748-5482",
            "fax_number": "718-748-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 88TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095665",
            "telephone_number": "718-748-5482",
            "fax_number": "718-748-3758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 Flatbush Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112343523",
            "country_code": "US",
            "telephone_number": "718-677-1000",
            "fax_number": "718-677-9107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3626 E Tremont Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104652030",
            "country_code": "US",
            "telephone_number": "718-597-9000",
            "fax_number": "718-597-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDBERG & PELLEGRINI, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "BALJINDER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-782-6380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002322059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.