Active NPI
Brian Goldenberg, F.N.P
- Family Nurse Practitioner
- New Haven, CT
National Provider Identifier
1326471475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11538
- Practice address
- 55 Lock St
New Haven, CT 06511-3603 - Phone
- (203) 432-0312
- Fax
- (203) 432-0707
- NPI assigned
- Aug 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11538 | CT | Primary |
Addresses
Primary practice location
55 Lock St
New Haven, CT 06511-3603
Mailing address
PO Box 208237
55 Lock Street
New Haven, CT 06520-8237
Phone (203) 432-0312
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11538 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Boston University | Past | Accepting new patients |
Interoperability endpoints
- bgoldenberg606681@direct.ynhh.org
Organizations & group practices 1
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.
-
dba Boston University Rehabilitation Services
- Physical Therapist
- Boston, MA
- NPI 1265419568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1326471475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208237",
"address_2": "55 LOCK STREET",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208237",
"telephone_number": "203-432-0312",
"fax_number": "203-432-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LOCK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113603",
"telephone_number": "203-432-0312",
"fax_number": "203-432-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "F.N.P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-13",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "11538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.