Individual provider Active NPI

Randal Ian Goldberg, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • New York, NY
National Provider Identifier
1063775419
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
278966 Issued in NY
Practice address
530 First Ave.
Skirball 9N
New York, NY 10016
Phone
(646) 501-0119
NPI assigned
Jun 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 25MA10796000 NJ
Cardiovascular Disease Physician 207RC0000X 278966 NY
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 278966 NY Primary

Addresses

Primary practice location

530 First Ave.
Skirball 9N
New York, NY 10016

Mailing address

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-5506

Other practice location 1

800 Washington St
Boston, MA 02111
Phone (617) 636-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgoldberg106495@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190610002522 NY Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7315291721 Reassigns benefits to 2 organizations
I20200708000606 NJ Practitioner - Advanced Heart Failure and Transplant Cardiology 7315291721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Virginia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

530 Hicksville Rd
Bethpage, NY 11714-3415
Phone (516) 535-1900

95 Madison Ave
Morristown, NJ 07960-6092
Phone (973) 285-7610

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10796000NJMDAdvanced Heart Failure and Transplant Cardiology Physician
278966NYMDAdvanced Heart Failure and Transplant Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Jul 1, 2020 Accepting new patients
New York University Cardiovascular Disease CurrentSince Jul 1, 2019 Accepting new patients
New York University Cardiovascular Disease CurrentSince Jul 1, 2019 Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

95 Madison Ave
Morristown, NJ 07960
Phone (973) 267-1010

100 Madison Ave
Ste C
Morristown, NJ 07960
Phone (973) 267-9543

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

530 Hicksville Rd
Bethpage, NY 11714
Phone (516) 937-3511

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

530 1st Ave
Ste Hcc
New York, NY 10016
Phone (212) 263-3643

530 1st Ave
#9N
New York, NY 10016
Phone (212) 263-3095

530 1st Ave
Fl 3
New York, NY 10016
Phone (212) 263-0358

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: rgoldberg988262@nychhc.direct-ci.com
  • Direct secure messaging: rgoldberg106495@nyumc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1063775419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FIRST AVE.",
            "address_2": "SKIRBALL 9N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "646-501-0119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Washington St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02111",
            "country_code": "US",
            "telephone_number": "617-636-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "RANDAL",
        "middle_name": "IAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "NJ",
            "license": "25MA10796000",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "278966",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "NY",
            "license": "278966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgoldberg106495@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "530 First Ave.",
            "address_2": "Skirball 9N",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.