Jan Paul Goldberg

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

21715 Issued in CO

Legal business name

JAN PAUL GOLDBERG

Practice address

816 Acoma St
1113
Denver, CO 80204-4010

Phone

(303) 912-4900

Fax

(720) 328-9367

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jan Paul Goldberg, MD

Title

Owner

Phone

(303) 912-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jan Paul Goldberg, MD

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1104204114
  NPD (past)

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1700263183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 ACOMA ST",
            "address_2": "1113",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044010",
            "telephone_number": "303-912-4900",
            "fax_number": "720-328-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 ACOMA ST",
            "address_2": "1113",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044010",
            "telephone_number": "303-912-4900",
            "fax_number": "720-328-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN PAUL GOLDBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-912-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CO",
            "license": "21715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "21715",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jamison
• Jacqueline H Jamison, MD
• Morgan Grace Fenn Jamison
• Brandt A Jamroz, MD
• Jan B Buckstein DDS PC
• Craig Michael Jancay, PA-C
• Carla Jean Janda
• Molly Janda, PA
• Jane C. Steiner, M.D., Prof. LLC
• Jane Lev Nutrition LLC

• Methadone Clinic in Denver, CO
• Providers in Denver, CO by specialty
• Methadone Clinic in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.