Organization Active NPI

Douglas a. Goldberg, M.D., P.C.

  • Cardiovascular Disease Physician
  • Roslyn Heights, NY
National Provider Identifier
1255599205
Registry record updated Sep 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DOUGLAS A. GOLDBERG, M.D., P.C.
Practice address
1 Expressway PLZ
Suite 220
Roslyn Heights, NY 11577-2047
Phone
(516) 299-9589
Fax
(516) 723-9540
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2014

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

Authorized official

Name
Dr. Douglas Alan Goldberg, M.D.
Title
President/Owner
Phone
(516) 299-9589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1 Expressway PLZ
Suite 220
Roslyn Heights, NY 11577-2047

Mailing address

1 Expressway PLZ
Suite 220
Roslyn Heights, NY 11577-2047
Phone (516) 299-9589

National Provider Directory

National Provider Directory

Locations

1 Expressway Plz
Ste 220
Roslyn Heights, NY 11577
Phone (516) 626-0700

1 Expressway Plz
#220
Roslyn Heights, NY 11577
Phone (516) 626-0700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411776000000",
    "number": "1255599205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXPRESSWAY PLZ",
            "address_2": "SUITE 220",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772047",
            "telephone_number": "516-299-9589",
            "fax_number": "516-723-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXPRESSWAY PLZ",
            "address_2": "SUITE 220",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772047",
            "telephone_number": "516-299-9589",
            "fax_number": "516-723-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A. GOLDBERG, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2014-09-27",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "516-299-9589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2014; 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.