Active NPI
Deborah Baron Goldberg, M.D.
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1730380031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 220977
- Practice address
- Bellevue Hospital Center Division of Forensic Psychiatr
462 First Ave, RM 19W15
New York, NY 10016 - Phone
- (212) 562-2554
- Fax
- (212) 562-3067
- NPI assigned
- May 31, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 220977 | NY | Primary |
Addresses
Primary practice location
Bellevue Hospital Center Division of Forensic Psychiatr
462 First Ave, RM 19W15
New York, NY 10016
Mailing address
29 Claremont Ave
Apt 3N
New York, NY 10027-6814
Phone (212) 562-2554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730380031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 CLAREMONT AVE",
"address_2": "APT 3N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100276814",
"telephone_number": "212-562-2554",
"fax_number": "212-562-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BELLEVUE HOSPITAL CENTER DIVISION OF FORENSIC PSYCHIATR",
"address_2": "462 FIRST AVE, RM 19W15",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-562-2554",
"fax_number": "212-562-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "DEBORAH",
"middle_name": "BARON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "220977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.