Dr. Alexander Golberg Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR. ALEXANDER GOLBERG MEDICAL

Practice address

910 Park Ave
New York, NY 10075-0277

Phone

(917) 301-8782

NPI assigned

Oct 20, 2022

Last updated

Oct 20, 2022By 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

Alexander Golberg, MD

Title

Owner

Phone

(917) 301-8782

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1689391617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750277",
            "telephone_number": "917-301-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750277",
            "telephone_number": "917-301-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALEXANDER GOLBERG MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "GOLBERG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-301-8782",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.