Individual provider Active NPI

Daniel Elie Goldberg, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Palm Springs, FL
National Provider Identifier
1699866301
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME141253 Issued in FL
Practice address
2889 10TH Ave N Ste 306
Palm Springs, FL 33461-3045
Phone
(561) 964-0707
Fax
(561) 725-8795
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 202411 NY
Retina Specialist (Ophthalmology) Physician 207WX0107X ME141253 FL Primary

Addresses

Primary practice location

2889 10TH Ave N Ste 306
Palm Springs, FL 33461-3045

Mailing address

2889 10TH Ave N Ste 306
Palm Springs, FL 33461-3045
Phone (561) 964-0707

Other practice location 1

102 Coastal Way
Jupiter, FL 33477-5002
Phone (561) 964-0707

Other identifiers 1

IdentifierTypeStateIssuer
103322000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190806001150 FL Practitioner - Ophthalmology 0446243281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visual Health and Surgical Center IncGroup PAC ID 8921992512, 6 clinicians

Practice addresses (Care Compare)

2889 10TH Ave N
Palm Springs, FL 33461-3045
Phone (561) 849-4280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202411NYMDOphthalmology Physician
ME141253FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visual Health and Surgical Center Inc Ophthalmology CurrentSince Jun 6, 2019 Accepting new patients
Palm Beach Outpatient Surgical Center, LLC CurrentSince Aug 5, 2024 Accepting new patients
Solo Optometry PC Past Accepting new patients
Harlem Medical P.C. Ophthalmology Past Accepting new patients
GVC Vision Inc Past Accepting new patients
Vitreous Retina Macula Consultants of New York Ophthalmology PastSince May 1, 1990 Accepting new patients

Locations

102 Coastal Way
Jupiter, FL 33477
Phone (561) 747-1111

2889 10th Ave N
Palm Springs, FL 33461
Phone (561) 227-3167

2889 10th Ave N
Ste 305
Palm Springs, FL 33461
Phone (561) 227-3117

2889 10th Ave N
Ste 306
Palm Springs, FL 33461
Phone (561) 227-3101

2889 10th Ave N
Ste 203
Palm Springs, FL 33461
Phone (561) 358-0700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1699866301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 10TH AVE N STE 306",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613045",
            "telephone_number": "561-964-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 10TH AVE N STE 306",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613045",
            "telephone_number": "561-964-0707",
            "fax_number": "561-725-8795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Coastal Way",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334775002",
            "country_code": "US",
            "telephone_number": "561-964-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "DANIEL",
        "middle_name": "ELIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "202411",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME141253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103322000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.