Individual provider Active NPI

Robert Goldberg, M.D.

  • Hematology & Oncology Physician
  • New City, NY
National Provider Identifier
1780628362
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
143731 Issued in NY
Practice address
10 Esquire Rd
Suite 6
New City, NY 10956-3336
Phone
(845) 634-2727
Fax
(845) 634-2882
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 143731 NY Primary

Addresses

Primary practice location

10 Esquire Rd
Suite 6
New City, NY 10956-3336

Mailing address

10 Esquire Rd
Suite 6
New City, NY 10956-3336
Phone (845) 634-2727

Other identifiers 6

IdentifierTypeStateIssuer
00995455MedicaidNY
P1964971OtherNYOXFORD
0M081POtherNYHIP
1Z7862OtherNYBCBS
4202054OtherNYAETNA
4362OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143731NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goldberg & Mathew Medical Associates, P.L.L.C. Hematology & Oncology CurrentSince Jul 1, 2002 Accepting new patients

Locations

10 Esquire Rd
Ste 6
New City, NY 10956
Phone (845) 634-2727

18 Thiells Mount Ivy Rd
Ste 2
Pomona, NY 10970

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1780628362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ESQUIRE RD",
            "address_2": "SUITE 6",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563336",
            "telephone_number": "845-634-2727",
            "fax_number": "845-634-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ESQUIRE RD",
            "address_2": "SUITE 6",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563336",
            "telephone_number": "845-634-2727",
            "fax_number": "845-634-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "143731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00995455",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1964971",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "0M081P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1Z7862",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4202054",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4362",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.