Individual provider Active NPI

Joel Goldberg, MD

  • Cardiovascular Disease Physician
  • Great Neck, NY
National Provider Identifier
1376589655
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
138481 Issued in NY
Practice address
310 E Shore Rd
Suite 104
Great Neck, NY 11023-2432
Phone
(516) 829-9550
Fax
(516) 829-9718
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 138481 NY Primary

Addresses

Primary practice location

310 E Shore Rd
Suite 104
Great Neck, NY 11023-2432

Mailing address

310 E Shore Rd
Suite 104
Great Neck, NY 11023-2432
Phone (516) 829-9550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000782 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496889776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peconic Cardiology PCGroup PAC ID 0143568717, 19 clinicians

Practice addresses (Care Compare)

1001 Franklin Ave
Garden City, NY 11530-2925
Phone (516) 240-8700

1601 County Rd
Suite 39
Southampton, NY 11968-5295
Phone (631) 727-7773

80 E Montauk Hwy
Hampton Bays, NY 11946-1878
Phone (631) 727-7773

951 Roanoke Ave
Riverhead, NY 11901-2724
Phone (631) 727-7773

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • Peconic Bay Medical Center Hospital, Riverhead, NY, CCN 330107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C Cardiovascular Disease CurrentSince May 1, 2020 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Peconic Cardiology, PC Cardiovascular Disease CurrentSince Jul 24, 2023 Accepting new patients
New York University Cardiovascular Disease CurrentSince Apr 1, 2012 Accepting new patients
New York University Cardiovascular Disease CurrentSince Apr 1, 2012 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease Past Accepting new patients

Locations

1001 Franklin Ave
Garden City, NY 11530
Phone (516) 240-8700

310 E Shore Rd
Ste 104
Great Neck, NY 11023
Phone (516) 829-9550

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

1601 County Road 39
Southampton, NY 11968
Phone (631) 283-2070

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1376589655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "address_2": "SUITE 104",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-829-9550",
            "fax_number": "516-829-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "address_2": "SUITE 104",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-829-9550",
            "fax_number": "516-829-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "138481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.