Eric Goldberg, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

244295 Issued in NY

Practice address

13876 Queens Blvd
1St. Floor
Briarwood, NY 11435-2930

Phone

(718) 850-6345

Fax

(718) 559-4895

NPI assigned

Jul 5, 2007

Last updated

Mar 14, 2018By the provider in NPPES

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

Other identifiers 1

Other names 1

• Dr. Eric Goldberg Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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

Internal MedicineAlso: Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Total Medical Ny P.C.

  • Legal Medicine
  • Rego Park, NY
  • NPI 1437449212
  Medicare reassignment NPD Authorized official
• Complete Medical Ny, PC

  • Internal Medicine Physician
  • Briarwood, NY
  • NPI 1538473723
  Authorized official Same address or phone
• Complete Medical Ny

  • Family Medicine Physician
  • Briarwood, NY
  • NPI 1326350265
  NPD (past)
• Health Care for All, NP in Adult Health, P.C.

  • Community Health Clinic/Center
  • Briarwood, NY
  • NPI 1801109491
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1093913642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9324 QUEENS BLVD",
            "address_2": "STE 1G",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741130",
            "telephone_number": "718-850-6345",
            "fax_number": "718-559-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13876 QUEENS BLVD",
            "address_2": "1ST. FLOOR",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352930",
            "telephone_number": "718-850-6345",
            "fax_number": "718-559-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "244295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03133740",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "GOLDBERG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Naomi Charlotte Frumess, FNP
• Diana Gadayeva
• Lauren Giacopino, LMT
• Gift & Talent Inc.
• Tatyana Girshfeld, TSLD
• Ana Doris Gonzalez, OTR/L
• Mauricio Gonzalez, MSPT
• Pamela R Goodman, L.C.S.W.
• Doreen E Gordon, RN
• Taisiya Goryaeva, MA, BCBA

• Internal Medicine Physician in Briarwood, NY
• Providers in Briarwood, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.