Kirby Goldberg

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

512866126 Issued in NY

Practice address

142-02 20TH Avenue
The Pederson-Krag Center
Flushing, NY 11351

Phone

(718) 559-0555

NPI assigned

Oct 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1518338607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GAME LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333411",
            "telephone_number": "631-365-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142-02 20TH AVENUE",
            "address_2": "THE PEDERSON-KRAG CENTER",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11351",
            "telephone_number": "718-559-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "KIRBY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "512866126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Golant, M.D.
• Seth H Goldbarg, MD
• Rachel Goldberg Hoffman, OTR/L
• Alla Goldberg, D.O.
• Gitty Goldberg, OTR/L
• Robert Theodore Goldberg, MD
• Golden Earth Chiropractic & Acupuncture PLLC
• Golden Elite Adult Day Care Inc.
• Golden Empire Adult Day Care Center Inc.
• Golden Harmony Adult Daycare Inc

• Student in an Organized Health Care Education/Training Program in Flushing, NY
• Providers in Flushing, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.