Active NPI
Richard Goldberg, DO
- Physical Medicine & Rehabilitation Physician
- Willow Grove, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS006254L
- Practice address
- 2400 Maryland Rd
Suite 20
Willow Grove, PA 19090-1700 - Phone
- (215) 830-8700
- Fax
- (215) 830-8715
- NPI assigned
- Nov 18, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS006254L | PA | Primary |
Addresses
Primary practice location
2400 Maryland Rd
Suite 20
Willow Grove, PA 19090-1700
Mailing address
2400 Maryland Rd
Suite 20
Willow Grove, PA 19090-1700
Phone (215) 830-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD037976E | PA | MD | Ophthalmology Physician |
| OS006254L | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Past | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients |
Locations
51 Blossom St
Boston, MA 02114
Phone (617) 371-4762
516 Carew St
Springfield, MA 01104
Phone (413) 787-2000
3551 N Broad St
Philadelphia, PA 19140
Phone (215) 430-4000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shriners Children's Philadelphia
- Pediatric Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1659615706
-
- Pediatric Orthopaedic Surgery Physician
- Springfield, MA
- NPI 1285078444
-
dba Shriners Children's Hawaii
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Rehabilitation Clinic/Center
- Springfield, MA
- NPI 1811611825
-
- Children's Hospital
- Philadelphia, PA
- NPI 1558404632
-
- Children's Hospital
- Boston, MA
- NPI 1114053782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073595518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 MARYLAND RD",
"address_2": "SUITE 20",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901700",
"telephone_number": "215-830-8700",
"fax_number": "215-830-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MARYLAND RD",
"address_2": "SUITE 20",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901700",
"telephone_number": "215-830-8700",
"fax_number": "215-830-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "RICHARD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "OS006254L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.