Kristina Goldenberg, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

269057 Issued in NY

Practice address

14 E 75TH St # 1B
New York, NY 10021-2625

Phone

(212) 405-8202

Fax

(212) 405-8203

NPI assigned

Jul 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Dermatology

Education

Albert Einstein College of Medicine of Yeshiva University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

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

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.

• Goldenberg Dermatology, PC

  • Specialist
  • New York, NY
  • NPI 1720526007
  Medicare reassignment NPD
• Health Quest Physical Therapy, P.C.

  • Specialist
  • Forest Hills, NY
  • NPI 1851571160
  NPD
• Kent D Shinbach MD PC

  • Legal Medicine
  • New York, NY
  • NPI 1578521456
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1801183033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E 87TH ST",
            "address_2": "APT 10F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283240",
            "telephone_number": "646-463-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E 75TH ST # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212625",
            "telephone_number": "212-405-8202",
            "fax_number": "212-405-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "269057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Brian Goldenberg, M.D.
• Elizabeth Goldenberg, M.P.H., R.D.
• Gary Goldenberg, MD
• Itta Goldenberg
• Joyce Goldenberg, M.D.
• Marsha Goldenberg, D.D.S.
• Owen Goldenberg, CRPA-P
• Ronald Goldenberg, M.D.
• Samantha Lee Goldenberg
• Yelena Goldenberg

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.