NPIMap

Organization Active NPI

Richard Goldberg and John Pellegrini P.C.

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1700920998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
152639 Issued in NY
Legal business name
RICHARD GOLDBERG AND JOHN PELLEGRINI P.C.
Practice address
8518 4TH Ave
Brooklyn, NY 11209-4608
Phone
(718) 748-5482
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Warren Marlowe Lyons, M.D.NPI 1548394026
Title
General Practioner
Phone
(718) 748-5482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 152639 NY Primary

Addresses

Primary practice location

8518 4TH Ave
Brooklyn, NY 11209-4608

Mailing address

437 Maryland Ave
Staten Island, NY 10305-5126
Phone (718) 448-6381

National Provider Directory

National Provider Directory
Tax ID family
Goldberg Pellegrini P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700920998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 MARYLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055126",
            "telephone_number": "718-448-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8518 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094608",
            "telephone_number": "718-748-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD GOLDBERG AND JOHN PELLEGRINI P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "MARLOWE",
        "authorized_official_title_or_position": "GENERAL PRACTIONER",
        "authorized_official_telephone_number": "718-748-5482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "152639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.