Active NPI
Raya Goldenberg
- Registered Nurse
- Waltham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN262356
- Practice address
- 132 Clocktower Dr
Apt. 4312
Waltham, MA 02452-7873 - Phone
- (617) 721-4450
- NPI assigned
- Feb 18, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN262356 | MA | Primary |
Addresses
Primary practice location
132 Clocktower Dr
Apt. 4312
Waltham, MA 02452-7873
Mailing address
132 Clocktower Drive
Apt. 4312
Waltham, MA 02452
Phone (617) 721-4450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000
Hospital & facility affiliations
- Brigham and Women Faulkner Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
75 Francis St
#360U2
Boston, MA 02115
375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010
1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1699015370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 CLOCKTOWER DRIVE",
"address_2": "APT. 4312",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02452",
"telephone_number": "617-721-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 CLOCKTOWER DR",
"address_2": "APT. 4312",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024527873",
"telephone_number": "617-721-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "RAYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-18",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN262356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.