Jeffrey I Goldberg DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JEFFREY I GOLDBERG DDS PLLC

Practice address

1655 Elmwood Ave Ste 100
Rochester, NY 14620-3426

Phone

(716) 636-2222

Fax

(716) 636-2252

NPI assigned

Oct 30, 2018

Organization subpart

Yes

Parent organization

JEFFREY I GOLDBERG DDS PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Jeffrey I Goldberg, DDS

Title

Owner

Phone

(716) 636-2222

Specialties & licenses 1

Addresses

Part of

Jeffrey I Goldberg DDS PLLC

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1306313150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR STE 401",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-636-2222",
            "fax_number": "716-636-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 ELMWOOD AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203426",
            "telephone_number": "716-636-2222",
            "fax_number": "716-636-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY I GOLDBERG DDS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFREY I GOLDBERG DDS PLLC",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-636-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Amie Jefferson, LICENSED PRACTICAL N
• Shawnnel Jewel Jefferson, LPN
• Taimka Jefferson, LPN
• Jeffrey a Liberman DO PC
• Jeffrey C. Leathersich PA, PLLC
• Renee Jeffrey, LICENSED PRACTICAL N
• Patricia Jeffries
• Thelma Marie Jeffries, LPN
• Bohdan Markian Jejna, M.A. CCC-SLP
• Beth Marie Jelsma, PH.D.

• Dental Clinic/Center in Rochester, NY
• Providers in Rochester, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.