Roy J. Goldberg, MD, PC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

156644 Issued in NY

Legal business name

ROY J. GOLDBERG, MD, PC

Practice address

2000 E Gun Hill Rd
Bronx, NY 10469-6016

Phone

(718) 405-3535

Fax

(718) 405-3501

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Roy J. Goldberg, MDNPI 1962514034

Title

President

Phone

(914) 262-4141

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roy Jeffrey Goldberg, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
  • NPI 1962514034
  Medicare reassignment NPD Authorized official
• Louis Allan Kaplan, PA

  • Physician Assistant
  • Bronx, NY
  • NPI 1821194655
  Medicare reassignment

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1134239692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "PATTERSON",
            "state": "NY",
            "postal_code": "125630483",
            "telephone_number": "914-262-4141",
            "fax_number": "718-405-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696016",
            "telephone_number": "718-405-3535",
            "fax_number": "718-405-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY J. GOLDBERG, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-262-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "156644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00948169",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrice Andrea Rowe, COTA
• Thomas Rowe, MSW
• Diana Roxas
• Jennifer Roxas, PT, DPT
• Myla Roxas
• Jayanta R Roy-Chowdhury, MD
• Estelis Roy, LMSW
• Kevin Jonathan Roy, DPM
• Rayna Roy
• Rohitha Roy

• Geriatric Medicine (Internal Medicine) Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.