Individual provider Active NPI

Neil Goldberg, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1780625509
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2013-01786 Issued in NC
Practice address
3535 Randolph Rd
Ste 208
Charlotte, NC 28211-1082
Phone
(704) 442-9805
Fax
(704) 405-0868
NPI assigned
Jun 10, 2006
Last updated
Oct 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 160284 NY
Addiction Medicine (Internal Medicine) Physician 207RA0401X 2013-01786 NC
Physical Medicine & Rehabilitation Physician 208100000X 2013-01786 NC
Diagnostic Radiology Physician 2085R0202X 2013-01786 NC Primary

Addresses

Primary practice location

3535 Randolph Rd
Ste 208
Charlotte, NC 28211-1082

Mailing address

3535 Randolph Rd
Ste 208
Charlotte, NC 28211-1082
Phone (704) 442-9805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040611000983 NY Practitioner - Diagnostic Radiology 7911980628 Reassigns benefits to 3 organizations
I20140116000972 SC Practitioner - Diagnostic Radiology 7911980628 Reassigns benefits to 4 organizations
I20150108000240 NC Practitioner - Diagnostic RadiologyPractitioner - Pain Management 7911980628 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaston Radiology PAGroup PAC ID 4082680806, 29 clinicians

Practice addresses (Care Compare)

2056 Thatcher Way
Fort Mill, SC 29715-6967
Phone (704) 834-2000

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-01786NCMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Feb 1, 2021 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 1, 2021 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Mar 1, 2020 Accepting new patients
Gaston Radiology PA Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jun 20, 2023 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Interfaith Professional Physician Services, P.C. Physical Medicine & Rehabilitation CurrentSince Aug 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Neal S Taub, M.D., P.a. CurrentSince Nov 15, 2016 Accepting new patients
Gainesville Radiology Group, PC Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Stony Brook Radiologic Services PC Diagnostic Radiology Past Accepting new patients
Midwood Medical P.C. PastSince Jan 24, 2001 Accepting new patients
Doshi Diagnostic Imaging Services PC Diagnostic Radiology PastSince Jan 1, 2012 Accepting new patients
Boulevard Multispecialty Medical PC PastSince Jan 13, 1996 Accepting new patients
Park Avenue Radiologists, P.C. Diagnostic Radiology PastSince Jun 1, 2010 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology PastSince Dec 1, 2015 Accepting new patients

Locations

1212 Spruce St
Belmont, NC 28012
Phone (704) 825-5677

3535 Randolph Rd
Ste 208
Charlotte, NC 28211
Phone (704) 442-9805

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

620 Summit Crossing Pl
Ste 106
Gastonia, NC 28054
Phone (704) 864-4378

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1545 Atlantic Ave
Fl 3
Brooklyn, NY 11213
Phone (617) 216-0149

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: neg9035@direct.weillcornell.org

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1780625509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 RANDOLPH RD",
            "address_2": "STE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111082",
            "telephone_number": "704-442-9805",
            "fax_number": "704-405-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 RANDOLPH RD",
            "address_2": "STE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111082",
            "telephone_number": "704-442-9805",
            "fax_number": "704-405-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "160284",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NC",
            "license": "2013-01786",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2013-01786",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2013-01786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.