Jeffrey Goldberg, M.S., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

020373 Issued in NY

Practice address

3475 Greystone Ave
Apt 6a
Bronx, NY 10463-2238

Phone

(201) 655-4291

NPI assigned

Apr 15, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1295189256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 GREYSTONE AVE",
            "address_2": "APT 6A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632238",
            "telephone_number": "201-655-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 GREYSTONE AVE",
            "address_2": "APT 6A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632238",
            "telephone_number": "201-655-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan W. M. Gold, M.D.
• Marji Gold, MD
• Menachem Gold, MD
• David T Goldberg, LCSW
• Gary L Goldberg, MD
• Jessica Elyse Goldberg, MD
• Joshua Goldberg, D.P.T.
• Julian Rhys Goldberg
• Justin Zach Goldberg, PA
• Leah Rose Goldberg

• Occupational Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.