Individual provider Active NPI

Neal D Goldberg, MD

  • Plastic Surgery Physician
  • Dobbs Ferry, NY
National Provider Identifier
1740277144
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
224305 Issued in NY
Practice address
128 Ashford Ave
2ND Floor
Dobbs Ferry, NY 10522-1924
Phone
(914) 722-1600
Fax
(914) 722-6982
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 224305 NY Primary

Addresses

Primary practice location

128 Ashford Ave
2ND Floor
Dobbs Ferry, NY 10522-1924

Mailing address

495 Central Park Ave Ste 305B
Scarsdale, NY 10583-1094
Phone (914) 722-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040322000205 NY Practitioner - Plastic and Reconstructive Surgery 0941191977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
New York University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

495 Central Park Ave
Suite 305B
Scarsdale, NY 10583-1094
Phone (914) 722-1600

Hospital & facility affiliations

  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision11
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224305NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Plastic Surgery, LLP Plastic Surgery PastSince Jan 1, 1990 Accepting new patients
SJR Medical, PC Past Accepting new patients
Central Avenue Office-Based Surgery, P.C. PastSince Apr 14, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ngoldberg67981@northwell.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1740277144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CENTRAL PARK AVE STE 305B",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831094",
            "telephone_number": "914-722-1600",
            "fax_number": "914-722-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ASHFORD AVE",
            "address_2": "2ND FLOOR",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221924",
            "telephone_number": "914-722-1600",
            "fax_number": "914-722-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "NEAL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "224305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

Verify at the official NPI Registry.