Active NPI
Cindy Lara Goldberg, M.D.
- Pediatrics Physician
- Norwalk, CT
National Provider Identifier
1801064720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 046160
- Practice address
- 120 Connecticut Ave
Norwalk, CT 06854-1525 - Phone
- (203) 899-1770
- Fax
- (203) 899-1769
- NPI assigned
- Feb 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 046160 | CT | Primary |
| Pediatric Infectious Diseases Physician | 2080P0208X | 046160 | CT |
Addresses
Primary practice location
120 Connecticut Ave
Norwalk, CT 06854-1525
Mailing address
120 Connecticut Ave
Norwalk, CT 06854-1525
Phone (203) 899-1770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield County Medical Services Inc | Pediatrics | Past | Accepting new patients |
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": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1801064720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 CONNECTICUT AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068541525",
"telephone_number": "203-899-1770",
"fax_number": "203-899-1769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CONNECTICUT AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068541525",
"telephone_number": "203-899-1770",
"fax_number": "203-899-1769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "CINDY",
"middle_name": "LARA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "046160",
"primary": true
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "CT",
"license": "046160",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.