Eric Robin Goldberg, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

000246 Issued in CT

Practice address

421 Cottage Grove Rd
Suite B
Bloomfield, CT 06002-3119

Phone

(860) 242-3933

Fax

(860) 242-3301

NPI assigned

Sep 23, 2005

Last updated

Feb 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Afc Physicians of Connecticut, PC

  • Urgent Care Clinic/Center
  • Danbury, CT
  • NPI 1003152984
  Medicare reassignment NPD
• Charter Oak Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford, CT
  • NPI 1992750855
  Medicare reassignment NPD
• Westport Urgent Care LLC

  • Urgent Care Clinic/Center
  • Westport, CT
  • NPI 1154672483
  Medicare reassignment NPD
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1851571608

  CT

  Medicare reassignment NPD
• Afc Physicians of Connecticut, PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Rocky Hill, CT
  • NPI 1285387530
  NPD
• Charter Oak Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford, CT
  • NPI 1841937679
  NPD
• American Current Care P.a.

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD
• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1003882812
  NPD (past)
• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1134779531
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1245226406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 COTTAGE GROVE RD",
            "address_2": "SUITE B",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023119",
            "telephone_number": "860-242-3933",
            "fax_number": "860-242-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 COTTAGE GROVE RD",
            "address_2": "SUITE B",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023119",
            "telephone_number": "860-242-3933",
            "fax_number": "860-242-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ERIC",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "000246",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "000246",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001002469",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erisa Gjinaj, DO
• Stanley Arthur Glassman, M.D.
• Global Horizon Development Inc (Global Horizon Home Care)
• Global Horizon Homecare Inc.
• Kristin Godiksen, P.T.
• Jonathan F Goldman, DMD
• Kenia Gondek, APRN
• Rafael Gonzalez, DPM LLC
• Good Physio Clinic Inc
• Carol Gordon, PT

• Internal Medicine Physician in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.