Itzhak Goldberg, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

163409-1 Issued in NY

Practice address

51 Charles Lindbergh Blvd
Angion Biomedica Corp
Uniondale, NY 11553

Phone

(516) 869-6400

NPI assigned

Jun 25, 2015

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1073995122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CHARLES LINDBERGH BLVD",
            "address_2": "ANGION BIOMEDICA CORP",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533658",
            "telephone_number": "516-869-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CHARLES LINDBERGH BLVD",
            "address_2": "ANGION BIOMEDICA CORP",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "11553",
            "telephone_number": "516-869-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ITZHAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "163409-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karene Marie Germain-Senat, REGISTERED NURSE
• Zenaida H Gervais
• Jaya Ghingoor
• Danielle Marie Gibbs
• Felicia Giles, MSN, APRN, FNP
• Norma Elaine Golding, LPN
• Ronnesheia Gonzalez
• Beatrice Goodman, BSN RN
• Janis Gordon, LCSW
• Tracey M Grant, DPT

• Radiation Oncology Physician in Uniondale, NY
• Providers in Uniondale, NY by specialty
• Radiation Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.