Organization Active NPI

Richard N. Goldberg, M.D., P.C.

  • General Practice Physician
  • Kensington, CT
National Provider Identifier
1386957819
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RICHARD N. GOLDBERG, M.D., P.C.
Practice address
211 New Britain Rd Ste 206
Kensington, CT 06037-3168
Phone
(860) 832-8808
Fax
(860) 827-8565
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Richard N. Goldberg, M.D.
Title
Owner
Phone
(860) 832-8808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

211 New Britain Rd Ste 206
Kensington, CT 06037-3168

Mailing address

211 New Britain Rd Ste 206
Kensington, CT 06037-3168
Phone (860) 832-8808

National Provider Directory

National Provider Directory

Locations

211 New Britain Rd
Ste 206
Kensington, CT 06037
Phone (860) 826-5288

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1386957819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NEW BRITAIN RD STE 206",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060373168",
            "telephone_number": "860-832-8808",
            "fax_number": "860-827-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NEW BRITAIN RD STE 206",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060373168",
            "telephone_number": "860-832-8808",
            "fax_number": "860-827-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD N. GOLDBERG, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-832-8808",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.