Individual provider Active NPI

Nancy Jacobs Goldenberg, M.D.

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1841297736
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD024196E Issued in PA
Practice address
1619 Grant Ave
Philadelphia, PA 19115-3167
Phone
(215) 934-6100
Fax
(215) 934-6713
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD024196E PA
Diagnostic Radiology Physician 2085R0202X MD024196E PA Primary

Addresses

Primary practice location

1619 Grant Ave
Philadelphia, PA 19115-3167

Mailing address

101 Greenwood Ave
Suite 150
Jenkintown, PA 19046-2627
Phone (215) 379-8458

Other identifiers 1

IdentifierTypeStateIssuer
000935088MedicaidPA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanes Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
Southeast Radiology LTD Diagnostic Radiology Past Accepting new patients
Insight Health Corp Past Accepting new patients

Locations

150 E Pennsylvania Ave
Downingtown, PA 19335
Phone (215) 772-9674

Organizations & group practices 4

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1841297736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREENWOOD AVE",
            "address_2": "SUITE 150",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462627",
            "telephone_number": "215-379-8458",
            "fax_number": "215-379-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153167",
            "telephone_number": "215-934-6100",
            "fax_number": "215-934-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "NANCY",
        "middle_name": "JACOBS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD024196E",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD024196E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000935088",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.