Miriam Zlata Goldburd, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

012888 Issued in NY

Practice address

4809 14TH Avenue
Brooklyn, NY 11219

Phone

(718) 972-7432

Fax

(718) 972-1661

NPI assigned

Nov 26, 2008

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

Other identifiers 1

Other names 1

• Miriam Zlata Bergstein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

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.

• Segulah Pediatrics

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1548522592
  NPD (past)

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1588819981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 EAST 36TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-614-5578",
            "fax_number": "718-972-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 14TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-972-7432",
            "fax_number": "718-972-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBURD",
        "first_name": "MIRIAM",
        "middle_name": "ZLATA",
        "name_prefix": "Miss",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "012888",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "BERGSTEIN",
            "middle_name": "ZLATA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Goldblatt
• Richard Brian Goldblatt, P.A.
• Sheila Goldblatt, MSW
• Chaya Golda Goldbrener, M.ED
• Elisheva Goldbrenner, MS
• Dina Goldemberg, LMSW
• Golden Age Adult Daycare, LLC
• Golden Age Daycare Inc. Dba D&H Adult Day Care Center Inc.
• Golden Age of Brooklyn, LLC
• Golden Age Sadc

• Medical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.