Gary Goldberg PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X002005 Issued in NY

Legal business name

GARY GOLDBERG PC

Practice address

10420 Queens Blvd
Forest Hills, NY 11375-3629

Phone

(718) 459-7575

Fax

(718) 897-8604

NPI assigned

Dec 28, 2011

Organization subpart

No

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

Authorized official

Name

Gary Ira Goldberg

Title

Chiropractor

Phone

(718) 459-7575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1497024004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753629",
            "telephone_number": "718-459-7575",
            "fax_number": "718-897-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753629",
            "telephone_number": "718-459-7575",
            "fax_number": "718-897-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY GOLDBERG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "718-459-7575"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Garfinkle
• Ana Garmise, LMHC, CASAC
• Michael Garofalo, MS, SCHOOL PSYCH.
• Casey Garrett
• Lisa Garvey, OTR
• Sandra Liliana Garzon Velandia
• Ruby Judith Maloco Garzon, NP
• Richard A Gasalberti, MD
• Tyisha Gaskin
• Garik Gasparyan, MD

• Chiropractor in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.