Active NPI
Bruce NMN Goldenberg, DDS
- Dentist
- New York, NY
National Provider Identifier
1063683274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 032979
- Practice address
- 1 Rockefeller PLZ
Suite 2206
New York, NY 10020-2003 - Phone
- (212) 697-6976
- Fax
- (212) 586-4733
- NPI assigned
- Mar 14, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 032979 | NY | Primary |
Addresses
Primary practice location
1 Rockefeller PLZ
Suite 2206
New York, NY 10020-2003
Mailing address
1 Rockefeller PLZ
Suite 2206
New York, NY 10020-2003
Phone (212) 697-6976
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1063683274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ROCKEFELLER PLZ",
"address_2": "SUITE 2206",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100202003",
"telephone_number": "212-697-6976",
"fax_number": "212-586-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROCKEFELLER PLZ",
"address_2": "SUITE 2206",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100202003",
"telephone_number": "212-697-6976",
"fax_number": "212-586-4733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "BRUCE",
"middle_name": "NMN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-14",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "032979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.