NPIMap

Organization Active NPI

David N. Goldberg, DO Facoog PC

  • Gynecology Physician
  • Bala Cynwyd, PA
National Provider Identifier
1629078530
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
DAVID N. GOLDBERG, DO FACOOG PC
Practice address
1 Bala Ave
Ste 120
Bala Cynwyd, PA 19004-3212
Phone
(610) 664-6550
Fax
(610) 660-0199
NPI assigned
Jul 21, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David Goldberg, DONPI 1639159312
Title
Head Doctor
Phone
(610) 664-6550

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X PA Primary

Addresses

Primary practice location

1 Bala Ave
Ste 120
Bala Cynwyd, PA 19004-3212

Mailing address

1 Bala Ave
Ste 120
Bala Cynwyd, PA 19004-3212
Phone (610) 664-6550

National Provider Directory

National Provider Directory

Locations

1 Bala Ave
Ste 120
Bala Cynwyd, PA 19004
Phone (610) 664-6550

Practitioners & affiliated clinicians

Practitioners 4

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": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629078530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALA AVE",
            "address_2": "STE 120",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043212",
            "telephone_number": "610-664-6550",
            "fax_number": "610-660-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALA AVE",
            "address_2": "STE 120",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043212",
            "telephone_number": "610-664-6550",
            "fax_number": "610-660-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID N. GOLDBERG, DO FACOOG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "HEAD DOCTOR",
        "authorized_official_telephone_number": "610-664-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.