Organization Active NPI

Paul M. Goldberg, D.O., P.C.

  • Allergy & Immunology Physician
  • Rockville, MD
National Provider Identifier
1407957806
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
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

Updated by the provider on Nov 15, 2007

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.NPI 1972560456
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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250326000986 DC Part B Supplier - Clinic/Group Practice 5294258752 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA; Rockville, MD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.