Lynn Danielle Goldenberg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104775 Issued in FL

Practice address

11195 S Jog Rd
Boynton Beach, FL 33437-1829

Phone

(561) 733-9690

Fax

(561) 733-9626

NPI assigned

Oct 28, 2009

Sex

Female

Sole proprietor

No

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Florida Healthcare Associates PL

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1184658726

  FL

  Medicare reassignment
• New Age Dermatology Inc

  • Dermatology Physician
  • West Palm Beach, FL
  • NPI 1962586586
  NPD (past)

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1295061083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11195 S JOG RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371829",
            "telephone_number": "561-733-9690",
            "fax_number": "561-733-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11195 S JOG RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371829",
            "telephone_number": "561-733-9690",
            "fax_number": "561-733-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "LYNN",
        "middle_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Life Homecare LLC
• Golden Retreat -4 Assisted Living Facility LLC
• Golden Retreat-2 Assisted Living Facility LLC
• Laura Golden
• Steven Alan Golden, D.C.
• Shane Ari Goldfeder, BSN, RN
• Alena Goldfine, PT, DPT
• Neil G. Goldhaber, M.D.
• Yarden Ora Goldman Gollan, MD
• Andrew Goldring, DDS

• All providers in Boynton Beach, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.