Active NPI
Janet Goldberg, NP
- Gerontology Nurse Practitioner
- Washington, DC
National Provider Identifier
1679529002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- RN960503
- Practice address
- 110 Irving St NW
Suite 2A38
Washington, DC 20010-2976 - Phone
- (202) 877-2848
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN960503 | DC | Primary |
Addresses
Primary practice location
110 Irving St NW
Suite 2A38
Washington, DC 20010-2976
Mailing address
110 Irving St NW
Suite 2A38
Washington, DC 20010-2976
Phone (202) 877-2848
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002902500 | Medicaid | MD | |
| 025712900 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236556800000",
"number": "1679529002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"address_2": "SUITE 2A38",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102976",
"telephone_number": "202-877-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"address_2": "SUITE 2A38",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102976",
"telephone_number": "202-877-2848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "JANET",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2009-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "DC",
"license": "RN960503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002902500",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025712900",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.