Individual provider Active NPI

Richard Goldberg, DO

  • Physical Medicine & Rehabilitation Physician
  • Willow Grove, PA
National Provider Identifier
1073595518
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS006254L Issued in PA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA2 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
I20100629000608 PA Practitioner - Physical Medicine and Rehabilitation 2961533369 Reassigns benefits to 1 organization
I20221201001734 MA Practitioner - Physical Medicine and Rehabilitation 2961533369 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037976EPAMDOphthalmology Physician
OS006254LPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Shriners' Hospital for Children Current Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 1, 2018 Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 1, 2018 Accepting new patients
The Shriners' Hospital for Children CurrentSince Sep 2, 2022 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.

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

Verify at the official NPI Registry.