Active NPI
Goldberg Dermatology, LLC
- Dermatology Physician
- Swampscott, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- GOLDBERG DERMATOLOGY, LLC
- Practice address
- 990 Paradise Rd
Swampscott, MA 01907-1395 - Phone
- (781) 595-0151
- Fax
- (781) 592-6780
- NPI assigned
- Feb 26, 2018
- Last updated
- Dec 14, 2021
- Organization subpart
- Yes
- Parent organization
- HOWARD S GOLDBERG MD INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Howard S Goldberg, MD
- Title
- President
- Phone
- (781) 595-0151
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MA | Primary | |
| Dermatopathology Physician | 207ND0900X | MA |
Addresses
Primary practice location
990 Paradise Rd
Swampscott, MA 01907-1395
Mailing address
990 Paradise Rd
Swampscott, MA 01907-1395
Phone (781) 595-0151
National Provider Directory
National Provider Directory- Part of
- Howard S Goldberg MD Inc
Locations
990 Paradise Rd
Swampscott, MA 01907
Phone (781) 592-2830
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dermatology Physician
- Swampscott, MA
- NPI 1912938531
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Swampscott, MA
- NPI 1619920352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639440000000",
"number": "1497256317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 PARADISE RD",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "019071395",
"telephone_number": "781-595-0151",
"fax_number": "781-592-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 PARADISE RD",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "019071395",
"telephone_number": "781-595-0151",
"fax_number": "781-592-6780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDBERG DERMATOLOGY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOWARD S GOLDBERG MD INC",
"enumeration_date": "2018-02-26",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-595-0151",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": null,
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swampscott, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.