Joseph Goldberg, MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME64068 Issued in FL

Legal business name

JOSEPH GOLDBERG, MD

Practice address

91555 Overseas Hwy
Suite 3
Tavernier, FL 33070-2505

Phone

(305) 852-9300

Fax

(305) 853-1260

NPI assigned

Nov 10, 2008

Last updated

Apr 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Goldberg, M.D

Title

Owner

Phone

(305) 852-9300

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1629222104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91555 OVERSEAS HWY",
            "address_2": "SUITE 3",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702505",
            "telephone_number": "305-852-9300",
            "fax_number": "305-853-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91555 OVERSEAS HWY",
            "address_2": "SUITE 3",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702505",
            "telephone_number": "305-852-9300",
            "fax_number": "305-853-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH GOLDBERG, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-852-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME64068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "23965",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374873100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Tavernier, FL
• Providers in Tavernier, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.