Active NPI
Marsha Goldenberg, D.D.S.
- Dentist
- New York, NY
National Provider Identifier
1376790709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 048728-1
- Practice address
- 525 West End Ave.
Suite 1G
New York, NY 10024 - Phone
- (212) 308-4940
- Fax
- (212) 750-8929
- NPI assigned
- Aug 27, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 048728-1 | NY | Primary |
Addresses
Primary practice location
525 West End Ave.
Suite 1G
New York, NY 10024
Mailing address
115 East 57TH St
Suite 1520
New York, NY 10022
Phone (212) 308-4940
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160412001868 | NY | Order and Referring Only - Dentist | 8426356254 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048728-1 | NY | MD | Dentist |
| 048728 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1376790709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 EAST 57TH ST",
"address_2": "SUITE 1520",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-308-4940",
"fax_number": "212-750-8929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 WEST END AVE.",
"address_2": "SUITE 1G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-308-4940",
"fax_number": "212-750-8929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "MARSHA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "048728-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.