Active NPI
John W Golberg, M.D.
- Orthopaedic Surgery Physician
- Woonsocket, RI
National Provider Identifier
1245299023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 34323
- Practice address
- 219 Cass Ave
Woonsocket, RI 02895-4741 - Phone
- (401) 769-4100
- Fax
- (401) 767-1604
- NPI assigned
- Mar 21, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 34323 | AZ | Primary |
Addresses
Primary practice location
219 Cass Ave
Woonsocket, RI 02895-4741
Mailing address
PO Box 847804
Boston, MA 02284-7804
Phone (401) 769-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34323 | AZ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgewater Goddard Park Medical Associates, Inc. | Past | Accepting new patients | |
| Arizona Specialty Physicians | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1922049634
-
- Multi-Specialty Clinic/Center
- Brockton, MA
- NPI 1417932591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1245299023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847804",
"city": "BOSTON",
"state": "MA",
"postal_code": "022847804",
"telephone_number": "401-769-4100",
"fax_number": "401-767-1604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 CASS AVE",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028954741",
"telephone_number": "401-769-4100",
"fax_number": "401-767-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLBERG",
"first_name": "JOHN",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "34323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.