Active NPI
Randy Allen Goldberg, MD
- Internal Medicine Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 216875
- Practice address
- 100 Woods Rd
TCC D376
Valhalla, NY 10595-1530 - Phone
- (914) 493-6616
- Fax
- (914) 493-5827
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 216875 | NY | Primary |
Addresses
Primary practice location
100 Woods Rd
TCC D376
Valhalla, NY 10595-1530
Mailing address
100 Woods Rd
TCC D376
Valhalla, NY 10595-1530
Phone (914) 493-6616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050202 | Medicaid | NJ | |
| 60-216875 | Other | NY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York Medical College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Woods Rd
Valhalla, NY 10595-1530
241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000
95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940
Hospital & facility affiliations
- Westchester Medical Center
- Garnet Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216875 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| RG Medical Consulting | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Ocean Medical Group,P.a. | Internal Medicine | Past | Accepting new patients |
| Ocean Adult Medical Group, L.L.C. | Internal Medicine | Past | Accepting new patients |
| Pratt Medical Center LTD | Internal Medicine | Past | Accepting new patients |
| Pratt Medical Center LTD | Past | Accepting new patients | |
| Westchester County Health Care Corporation | Past | Accepting new patients | |
| Medical Research Associates,PC | Internal Medicine | Past | Accepting new patients |
Locations
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
100 Woods Rd
#D376
Valhalla, NY 10595
Phone (914) 493-6616
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- goldbergr@hiemail.healtheconnections.org
- https://fhir4.healow.com/fhir/r4/JGGAAA
Organizations & group practices 9
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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Point of Service
- New Rochelle, NY
- NPI 1689328411
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Internal Medicine Physician
- Valhalla, NY
- NPI 1801841895
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
-
- Internal Medicine Physician
- Lavallette, NJ
- NPI 1437100096
-
- Internal Medicine Physician
- Whiting, NJ
- NPI 1346288826
-
- Clinical Medical Laboratory
- Fredericksburg, VA
- NPI 1003840950
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1316973555
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1154329936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"address_2": "TCC D376",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-493-6616",
"fax_number": "914-493-5827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"address_2": "TCC D376",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-493-6616",
"fax_number": "914-493-5827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "RANDY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "216875",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0050202",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "60-216875",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.