NPIMap

Individual provider Active NPI

David Jason Goldberger, M.D.

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1609134212
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
390200000 Issued in NY
Practice address
245 N 15TH St
Mailstop 1011
Philadelphia, PA 19102-1101
Phone
(215) 762-1307
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 390200000 NY Primary

Addresses

Primary practice location

245 N 15TH St
Mailstop 1011
Philadelphia, PA 19102-1101

Mailing address

245 N 15TH St
Mailstop 1011
Philadelphia, PA 19102-1101
Phone (215) 762-1307

Other identifiers 1

IdentifierTypeStateIssuer
MD455849OtherPAPA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150414002218 NY Practitioner - Emergency Medicine 4981922333 Reassigns benefits to 4 organizations
I20151102002444 PA Practitioner - Medical ToxicologyPractitioner - Emergency Medicine 4981922333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Toxicology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-9850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
390200000NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 16, 2015 Accepting new patients
Drexel University CurrentSince Oct 1, 2015 Accepting new patients
Drexel University Current Accepting new patients
Einstein Practice Plan Inc Emergency Medicine CurrentSince Apr 11, 2017 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 16, 2015 Accepting new patients
Einstein Practice Plan Inc CurrentSince Apr 11, 2017 Accepting new patients
Drexel University CurrentSince Oct 1, 2015 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

245 N 15th St
#1011
Philadelphia, PA 19102
Phone (215) 762-2574

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

Interoperability endpoints

  • Direct secure messaging: dgoldberger37013@bassett.direct-ci.net

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1609134212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "address_2": "MAILSTOP 1011",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "address_2": "MAILSTOP 1011",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERGER",
        "first_name": "DAVID",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "390200000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "MD455849",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.