Jonathan Lewis Goldberg, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6889 Issued in CT

Practice address

4133 Whitney Ave
Hamden, CT 06518-1432

Phone

(203) 230-2265

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jonathan L. Goldberg DMD

  • Dentist
  • Hamden, CT
  • NPI 1871833897
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275687758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181432",
            "telephone_number": "203-230-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181432",
            "telephone_number": "203-230-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JONATHAN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Caryn Glassman, M.D., F.A.A.P.
• Laura M Glasz, OD
• Susan E.M. Gobel, M.D.
• Gold Homemaking and Companion Agency LLC
• Jeffrey D Gold, M.D.
• Judith Goldberg, M.A.
• Golden Days Adult Care Center LLC
• Heather Goldfuss, RPT
• Patrice C Golding
• Liza Goldman Huertas, M.D.

• General Practice Dentistry in Hamden, CT
• Providers in Hamden, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.