Organization Active NPI

Myron D Goldberg MD PC

  • Clinic/Center
  • New York, NY
National Provider Identifier
1184808859
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MYRON D GOLDBERG MD PC
Practice address
110 E 59TH St
Suite 10D
New York, NY 10022-1304
Phone
(212) 583-2900
Fax
(212) 644-2552
NPI assigned
Dec 18, 2007
Last updated
Dec 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Christian Vella
Title
Medical Biller
Phone
(212) 583-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

110 E 59TH St
Suite 10D
New York, NY 10022-1304

Mailing address

110 E 59TH St
Suite 10D
New York, NY 10022-1304
Phone (212) 583-2900

National Provider Directory

National Provider Directory

Locations

110 E 59th St
Rm 10D
New York, NY 10022
Phone (212) 583-2900

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1184808859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 59TH ST",
            "address_2": "SUITE 10D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221304",
            "telephone_number": "212-583-2900",
            "fax_number": "212-644-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 59TH ST",
            "address_2": "SUITE 10D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221304",
            "telephone_number": "212-583-2900",
            "fax_number": "212-644-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRON D GOLDBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "VELLA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "212-583-2900"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.