Individual provider Active NPI

Eric Goldburd, L.AC

  • Acupuncturist
  • Philadelphia, PA
National Provider Identifier
1285039941
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK00150 Issued in PA
Practice address
9922 Roosevelt Blvd
Alliance Physician Association Building
Philadelphia, PA 19115-1705
Phone
(267) 403-3085
NPI assigned
Oct 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00108400 NJ
Acupuncturist 171100000X 005364-1 NY
Acupuncturist 171100000X AK00150 PA Primary

Addresses

Primary practice location

9922 Roosevelt Blvd
Alliance Physician Association Building
Philadelphia, PA 19115-1705

Mailing address

258 Lee St
Elmwood Park, NJ 07407-2706
Phone (201) 606-3071

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005364-1NYMDRegistered Dietitian
25MZ00108400NJMDAcupuncturist
AK00150PAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1285039941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 LEE ST",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072706",
            "telephone_number": "201-606-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9922 ROOSEVELT BLVD",
            "address_2": "ALLIANCE PHYSICIAN ASSOCIATION BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151705",
            "telephone_number": "267-403-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBURD",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00108400",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005364-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK00150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.