Individual provider Active NPI

Howard S Goldberg, MD

  • Dermatology Physician
  • Swampscott, MA
National Provider Identifier
1619920352
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
30395 Issued in MA
Practice address
990 Paradise Road
Swampscott, MA 01907
Phone
(781) 592-2830
Fax
(781) 592-6780
NPI assigned
May 17, 2006
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 30395 MA Primary
Dermatopathology Physician 207ND0900X 30395 MA

Addresses

Primary practice location

990 Paradise Road
Swampscott, MA 01907

Mailing address

990 Paradise Road
Swampscott, MA 01907
Phone (781) 595-0151

Other identifiers 1

IdentifierTypeStateIssuer
0132934MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Goldberg.Howard.HSGMD@direct.partners.masshiway.net Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107001151 MA Practitioner - Dermatology 2961464391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard S Goldberg MD IncGroup PAC ID 0244292688, 10 clinicians

Practice addresses (Care Compare)

990 Paradise Rd
Swampscott, MA 01907-1395
Phone 7815950151212

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions774
Removal or shaving of skin growth123
Skin biopsy70

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Howard S Goldberg MD Inc Dermatology CurrentSince Jan 1, 1968 Accepting new patients

Locations

990 Paradise Rd
Swampscott, MA 01907
Phone (781) 592-2830

Interoperability endpoints

  • Direct secure messaging: goldberg.howard.hsgmd@direct.partners.masshiway.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1619920352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PARADISE ROAD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "01907",
            "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 ROAD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "01907",
            "telephone_number": "781-592-2830",
            "fax_number": "781-592-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "HOWARD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "30395",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MA",
            "license": "30395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132934",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Goldberg.Howard.HSGMD@direct.partners.masshiway.net",
            "affiliation": "N",
            "endpointDescription": "Howard S Goldberg MD Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "990 Paradise Road",
            "city": "Swampscott",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

Verify at the official NPI Registry.