Individual provider Active NPI

Alexander Golberg, D.O.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1194739532
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
208373 Issued in NY
Practice address
2361 E 14TH St
Brooklyn, NY 11229-4307
Phone
(718) 759-0100
Fax
(718) 759-0115
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 208373 NY Primary

Addresses

Primary practice location

2361 E 14TH St
Brooklyn, NY 11229-4307

Mailing address

2361 E 14TH St
Brooklyn, NY 11229-4307
Phone (718) 759-0100

Other practice location 1

116 E 63rd St
New York, NY 10065-7325
Phone (718) 759-0100

Other identifiers 1

IdentifierTypeStateIssuer
01854668MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051228000572 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8224050679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2361 E 14 St
Brooklyn, NY 11229-4307

Merit-based Incentive Payment System (MIPS)

Final score
22.09 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Golberg Physician, P.C. Family Medicine CurrentSince Feb 28, 2008 Accepting new patients

Locations

2361 E 14th St
Brooklyn, NY 11229
Phone (718) 759-0100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1194739532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294307",
            "telephone_number": "718-759-0100",
            "fax_number": "718-759-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294307",
            "telephone_number": "718-759-0100",
            "fax_number": "718-759-0115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 E 63rd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100657325",
            "country_code": "US",
            "telephone_number": "718-759-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLBERG",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01854668",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.