Active NPI
Chelsea-Village Medical Office PC
- Physical Medicine & Rehabilitation Physician
- New York, NY
National Provider Identifier
1760593164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 135098
- Legal business name
- CHELSEA-VILLAGE MEDICAL OFFICE PC
- Practice address
- 314 W 14TH St
New York, NY 10014-5002 - Phone
- (212) 929-9009
- Fax
- (212) 242-6057
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert B. Goldberg, D.O.
- Title
- President
- Phone
- (212) 929-9009
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 135098 | NY | Primary |
Addresses
Primary practice location
314 W 14TH St
New York, NY 10014-5002
Mailing address
314 W 14TH St
New York, NY 10014-5002
Phone (212) 929-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
314 W 14th St
New York, NY 10014
Phone (212) 620-0144
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1558344309
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- New York, NY
- NPI 1124076351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423612800000",
"number": "1760593164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 W 14TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100145002",
"telephone_number": "212-929-9009",
"fax_number": "212-242-6057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 W 14TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100145002",
"telephone_number": "212-929-9009",
"fax_number": "212-242-6057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHELSEA-VILLAGE MEDICAL OFFICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2015-02-11",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-929-9009",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "135098",
"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 Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.