Active NPI
Leonard M Golub, MD
- Neonatal-Perinatal Medicine Physician
- Reading, PA
National Provider Identifier
1437192549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD033418E
- Practice address
- 2500 Bernville Rd
Reading, PA 19605-9453 - Phone
- (610) 378-2000
- Fax
- (610) 378-2799
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD033418E | PA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD033418E | PA | Primary |
Addresses
Primary practice location
2500 Bernville Rd
Reading, PA 19605-9453
Mailing address
2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0914002 | Medicaid | NJ | |
| 0010202500019 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD033418E | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Trustees of the University of Pennsylvania | Pediatrics | Past | Accepting new patients |
| St Lukes Quakertown Hospital | Past | Accepting new patients |
Locations
27350 Network Pl
Chicago, IL 60673
6121 Cleveland St
Merrillville, IN 46410
Phone (219) 738-5985
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926
Organizations & group practices 4
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.
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- Internal Medicine Physician
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- NPI 1720290349
-
- Neurology Physician
- Gary, IN
- NPI 1720290588
-
- General Acute Care Hospital
- Quakertown, PA
- NPI 1669405072
-
- Neonatal-Perinatal Medicine Physician
- Philadelphia, PA
- NPI 1972607257
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1437192549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 BERNVILLE RD",
"city": "READING",
"state": "PA",
"postal_code": "196059453",
"telephone_number": "610-378-2000",
"fax_number": "610-378-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 BERNVILLE RD",
"city": "READING",
"state": "PA",
"postal_code": "196059453",
"telephone_number": "610-378-2000",
"fax_number": "610-378-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLUB",
"first_name": "LEONARD",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD033418E",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PA",
"license": "MD033418E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0914002",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010202500019",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.