NPIMap

Individual provider Active NPI

Jason Lee Goldberg, D.O.

  • Internal Medicine Physician
  • Red Lion, PA
National Provider Identifier
1104138403
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS015860 Issued in PA
Practice address
718 S Main St
Red Lion, PA 17356-2605
Phone
(717) 244-8504
Fax
(717) 244-8504
NPI assigned
Jul 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS015860 PA Primary

Addresses

Primary practice location

718 S Main St
Red Lion, PA 17356-2605

Mailing address

718 S Main St
Red Lion, PA 17356-2605
Phone (717) 244-8504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130306000146 PA Practitioner - Internal MedicinePractitioner - Undersea and Hyperbaric Medicine 4880849405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Undersea and Hyperbaric Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JB Pain Free MD PLLCGroup PAC ID 9234494584, 3 clinicians

Practice addresses (Care Compare)

718 S Main St
Red Lion, PA 17356-2605
Phone (717) 244-8504

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Wyomissing Health and Rehabilitation Center Nursing home, Reading, PA, CCN 395237

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JB Pain Free MD PLLC CurrentSince Aug 28, 2025 Accepting new patients
All American Urgent Care, P.C. CurrentSince Sep 1, 2021 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Sep 1, 2021 Accepting new patients
724 N Charlotte Street Operations LLC Past Accepting new patients
Spruce Manor Nursing & Rehabilitation Center, LLC Past Accepting new patients
Frederick Mennonite Community Past Accepting new patients
Wym Op Holdings LLC Past Accepting new patients

Locations

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

1052 E Philadelphia Ave
Gilbertsville, PA 19525

718 S Main St
Red Lion, PA 17356
Phone (717) 244-8504

4075 E Market St
Ste 20
York, PA 17402
Phone (717) 244-8504

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1104138403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S MAIN ST",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173562605",
            "telephone_number": "717-244-8504",
            "fax_number": "717-244-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 S MAIN ST",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173562605",
            "telephone_number": "717-244-8504",
            "fax_number": "717-244-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JASON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS015860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Lion, PA

Sources for this page

Verify at the official NPI Registry.