Jeffrey E Goldberg, MD, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036754 Issued in GA

Legal business name

JEFFREY E GOLDBERG, MD, PC

Doing business as

Children's ENT Associates

Practice address

4245 Johns Creek Parkway
Suite D
Suwanee, GA 30024

Phone

(770) 495-3820

Fax

(770) 495-3820

NPI assigned

Jan 15, 2008

Last updated

Sep 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey E Goldberg, MDNPI 1336229178

Title

Owner

Phone

(770) 495-3820

Specialties & licenses 1

Addresses

Other names 1

• Children's ENT Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey E Goldberg, MD

  • Otolaryngology Physician
  • Suwanee, GA
  • NPI 1336229178
  Authorized official Same address or phone

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1114103595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 JOHNS CREEK PARKWAY",
            "address_2": "SUITE D",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "770-495-3820",
            "fax_number": "770-495-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 JOHNS CREEK PARKWAY",
            "address_2": "SUITE D",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "770-495-3820",
            "fax_number": "770-495-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY E GOLDBERG, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-495-3820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "036754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's ENT Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diana Jin, D.D.S.
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• Medical Specialty Clinic/Center in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.