Organization Active NPI

Goldberg Dermatology, LLC

  • Dermatology Physician
  • Swampscott, MA
National Provider Identifier
1497256317
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HOWARD S GOLDBERG MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Dr. Howard S Goldberg, MDNPI 1619920352
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)CodeLicenseStatePrimary
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.

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.

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.

Verify at the official NPI Registry.