Michael L Goldaber, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

58820 Issued in MA

Practice address

65 Walnut St
Ste 520
Wellesley, MA 02481

Phone

(781) 237-3500

Fax

(781) 237-7867

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Dermatology

Education

Albany Medical College of Union University, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newton Wellesley Dermatology AssociatesGroup PAC ID 7911969878, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: goldaber.michael.nwda@direct.partners.masshiway.net

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.

• Newton Wellesley Dermatology Associates

  • Dermatology Physician
  • Wellesley, MA
  • NPI 1326166596
  Medicare reassignment Care Compare group NPD

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

• Newton-Wellesley Hospital

  • General Acute Care Hospital
  • Newton, MA
  • NPI 1992737761
  Care Compare affiliation

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1073576575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 DONNELLY DR",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "02030",
            "telephone_number": "508-785-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "STE 520",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-237-3500",
            "fax_number": "781-237-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDABER",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "58820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Gilman, OD
• Shih Yee-Marie Tan Gipson, M.D.
• Madison Giuffre
• Tracy Rebecca Gladstone, PH.D.
• Alan I Glaser, MD
• C. Robert Goldberg, D.M.D.
• Rebecca Goldberg, M.S., CCC-SLP
• Jacqueline Greb Goldminz, MD
• David Paul Goldsmith, PSY.D.
• Jean Goldstone, LMHC

• Dermatology Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.

Verify at the official NPI Registry.