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
- Last updated
- Nov 3, 2011
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Norwalk Hospital Physicians and Surgeons
- Specialist
- Norwalk, CT
- NPI 1134178577
Pediatrics
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.