Active NPI
Paul M. Goldberg, D.O., P.C.
- Allergy & Immunology Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- PAUL M. GOLDBERG, D.O., P.C.
- Practice address
- 6282 Montrose Rd
Rockville, MD 20852-4119 - Phone
- (301) 670-8338
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul M Goldberg, D.O.
- Title
- President
- Phone
- (301) 670-8338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
6282 Montrose Rd
Rockville, MD 20852-4119
Mailing address
12300 Briarbush LN
Potomac, MD 20854-1032
Phone (301) 670-8338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6282 Montrose Rd
Rockville, MD 20852
Phone 3014683004303
1225 Martha Custis Dr
Ste C7
Alexandria, VA 22302
Phone (703) 998-5676
1225 Martha Custis Dr
Ste C
Alexandria, VA 22302
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195084800000",
"number": "1407957806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12300 BRIARBUSH LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541032",
"telephone_number": "301-670-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6282 MONTROSE RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524119",
"telephone_number": "301-670-8338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL M. GOLDBERG, D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2007-11-15",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-670-8338",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.