Active NPI
Robert Goldberg, M.D.
- Hematology & Oncology Physician
- New City, NY
National Provider Identifier
1780628362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 143731
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00995455 | Medicaid | NY | |
| P1964971 | Other | NY | OXFORD |
| 0M081P | Other | NY | HIP |
| 1Z7862 | Other | NY | BCBS |
| 4202054 | Other | NY | AETNA |
| 4362 | Other | NY | GHI |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143731 | NY | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldberg & Mathew Medical Associates, P.L.L.C. | Hematology & Oncology | Current | 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.
-
- Hematology & Oncology Physician
- New City, NY
- NPI 1083722987
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.