NPIMap

Individual provider Active NPI

Neil G. Goldhaber, M.D.

  • Otolaryngology Physician
  • Boynton Beach, FL
National Provider Identifier
1114093598
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME72673 Issued in FL
Practice address
10075 S Jog Rd Ste 309
Boynton Beach, FL 33437-3537
Phone
(561) 734-3636
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME72673 FL Primary
Specialist 174400000X 0072673 FL
Otolaryngology Physician 207Y00000X MD82186 SC

Addresses

Primary practice location

10075 S Jog Rd Ste 309
Boynton Beach, FL 33437-3537

Mailing address

11513 Old Ocean Blvd
Boynton Beach, FL 33435-7303
Phone (561) 635-4049

Other identifiers 1

IdentifierTypeStateIssuer
252526700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070302000143 FL Practitioner - Otolaryngology 6507769759
I20250123001924 NY Practitioner - Otolaryngology 6507769759 Reassigns benefits to 1 organization
I20250204000062 NC Practitioner - Otolaryngology 6507769759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

1914 W Park Dr
North Wilkesboro, NC 28659-3563
Phone (336) 903-7710

Hospital & facility affiliations

  • Wilkes Regional Medical Center Hospital, North Wilkesboro, NC, CCN 340064
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0072673FLMDSpecialist
MD82186SCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan C. Stern M.D.P.C CurrentSince Dec 1, 2024 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jan 6, 2025 Accepting new patients
Jordan C. Stern M.D.P.C. Otolaryngology CurrentSince Dec 1, 2024 Accepting new patients
Specialized Outpatient Surgery Center for Children and Adults Past Accepting new patients

Locations

1914 W Park Dr
North Wilkesboro, NC 28659
Phone (336) 667-5039

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

169 Madison Ave
Ste 15025
New York, NY 10016

245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399

Interoperability endpoints

  • Direct secure messaging: ngoldhaber2964243@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: ngoldhaber@entaaf.emadirect.md

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715472000000",
    "number": "1114093598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11513 OLD OCEAN BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357303",
            "telephone_number": "561-635-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 S JOG RD STE 309",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373537",
            "telephone_number": "561-734-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDHABER",
        "first_name": "NEIL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME72673",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0072673",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "MD82186",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252526700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.