Active NPI
Nancy Jacobs Goldenberg, M.D.
- Diagnostic Radiology Physician
- Philadelphia, PA
National Provider Identifier
1841297736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD024196E
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000935088 | Medicaid | PA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeanes Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Rittenhouse Imaging Center, LLC | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1639110240
-
- Diagnostic Radiology Physician
- Bryn Mawr, PA
- NPI 1962458034
-
- Physiological Laboratory
- Wilkes Barre, PA
- NPI 1174647267
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1790779684
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.