Organization Active NPI

Goldberg & Mathew Medical Associates, P.L.L.C.

  • Hematology & Oncology Physician
  • New City, NY
National Provider Identifier
1083722987
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
GOLDBERG & MATHEW MEDICAL ASSOCIATES, P.L.L.C.
Practice address
10 Esquire Rd
Suite 6
New City, NY 10956-3336
Phone
(845) 634-2727
Fax
(845) 634-2882
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Authorized official

Name
Dr. Renee Goldberg, PH.D.
Title
Office Manager
Phone
(845) 634-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

10 Esquire Rd
Suite 6
New City, NY 10956-3336

Mailing address

10 Esquire Rd
Suite 6
New City, NY 10956-3336
Phone (845) 634-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040810001081 NY Part B Supplier - Clinic/Group Practice 2062484058 Receives reassigned benefits from 3 practitioners
Practice locations: New City, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0675527Goldberg & Mathew Med Assoc10 Esquire Road Suite 6, New City, NY 10956AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

18 Thiells Mount Ivy Rd
Ste 2
Pomona, NY 10970

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1083722987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ESQUIRE RD",
            "address_2": "SUITE 6",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563336",
            "telephone_number": "845-634-2727",
            "fax_number": "845-634-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ESQUIRE RD",
            "address_2": "SUITE 6",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563336",
            "telephone_number": "845-634-2727",
            "fax_number": "845-634-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDBERG & MATHEW MEDICAL ASSOCIATES, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-634-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.