Active NPI
Mark N. Goldberg, M.D. P.a.
- Neurology Physician
- Miami Shores, FL
National Provider Identifier
1124377908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- MARK N. GOLDBERG, M.D. P.A.
- Practice address
- 857 NE 98 Street
Miami Shores, FL 33138-2532 - Phone
- (305) 557-3300
- Fax
- (305) 756-9689
- NPI assigned
- Sep 7, 2012
- Last updated
- Sep 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark N Goldberg, M.D.
- Title
- President
- Phone
- (305) 557-3300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
857 NE 98 Street
Miami Shores, FL 33138-2532
Mailing address
857 NE 98 Street
Miami Shores, FL 33138-2532
Phone (305) 557-3300
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Neurology Physician
- Miami Shores, FL
- NPI 1063434371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346976000000",
"number": "1124377908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 NE 98 STREET",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382532",
"telephone_number": "305-557-3300",
"fax_number": "305-756-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 NE 98 STREET",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382532",
"telephone_number": "305-557-3300",
"fax_number": "305-756-9689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK N. GOLDBERG, M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-07",
"last_updated": "2012-09-07",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-557-3300",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.