Dr Todd Newberg PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR TODD NEWBERG PLLC

Practice address

255 N Lakemont Ave Ste 100
Winter Park, FL 32792-3210

Phone

(407) 490-1022

Fax

(407) 490-1023

NPI assigned

Jun 9, 2025

Organization subpart

No

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

Authorized official

Name

Matthew Todd Newberg, MDNPI 1417064841

Title

Owner

Phone

(407) 252-4199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Matthew Todd Newberg, MD

  • Internal Medicine Physician
  • Winter Park, FL
  • NPI 1417064841
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1780579110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N LAKEMONT AVE STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923210",
            "telephone_number": "407-490-1022",
            "fax_number": "407-490-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N LAKEMONT AVE STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923210",
            "telephone_number": "407-490-1022",
            "fax_number": "407-490-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TODD NEWBERG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "NEWBERG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-252-4199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.

Verify at the official NPI Registry.