Goldberg Urgent Care Physician PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

GOLDBERG URGENT CARE PHYSICIAN PLLC

Practice address

2960 Victory Blvd
Staten Island, NY 10314-6605

Phone

(845) 565-3700

NPI assigned

Sep 13, 2013

Organization subpart

No

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

Authorized official

Name

Alvin Goldberg, MD

Title

Sole Proprietor

Phone

(845) 565-3700

Specialties & licenses 1

Addresses

Other names 1

• Circle Urgent Care Doing business as

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1699100206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 TEMPLE HILL RD",
            "address_2": "SUITE 104",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535557",
            "telephone_number": "845-565-3700",
            "fax_number": "845-565-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146605",
            "telephone_number": "845-565-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDBERG URGENT CARE PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "845-565-3700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circle Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerri Ann Goetz, RN
• Maureen Ann Goff, RN
• Tamele Anthony Goffin, CASAC-(G)
• Dana C Goidel
• Marina Goikhberg, MD
• Anna Goldberg
• Jesse Lawton Goldberg, PHARMD
• Lily Goldberg
• Nora Goldberg, OTR/L
• Regina Goldberg, PA

• Emergency Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.