Paul Goldberg, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME53461 Issued in FL

Practice address

11011 Sheridan St
Suite 311
Hollywood, FL 33026-1532

Phone

(954) 435-7400

Fax

(954) 433-5402

NPI assigned

Oct 19, 2005

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Nicklaus Children's Pediatric Specialists, LLC

  dba Nicklaus Children's Pediatric Specialists - Emergency Medicine

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Miami, FL
  • NPI 1588063176
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1649269903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE",
            "address_2": "SUITE C-350",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732539",
            "telephone_number": "954-731-9676",
            "fax_number": "954-731-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST",
            "address_2": "SUITE 311",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261532",
            "telephone_number": "954-435-7400",
            "fax_number": "954-433-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME53461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058945400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle S Gold, M.S. CCC-SLP
• Joshua Gold
• Brittany Goldberg, M.S., CCC-SLP
• Herbert Goldberg, M.D.
• Lester Goldberg, M.D.
• Sara Ann Goldberg, MS,CCC-SLP
• David Goldberger, M.D.
• Goldcost Loving Care
• Golden Manor Assisted Living Facility 1
• Golden Manor Assisted Living Facility2

• Pediatrics Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.