Sergey Ivanovich Golubovich, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P12025 Issued in NY

Practice address

100 Woods Rd
Taylor Pavilion, Room E173
Valhalla, NY 10595

Phone

(914) 493-7614

NPI assigned

Apr 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1841686599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604363",
            "telephone_number": "718-620-6678",
            "fax_number": "646-224-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "address_2": "TAYLOR PAVILION, ROOM E173",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUBOVICH",
        "first_name": "SERGEY",
        "middle_name": "IVANOVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P12025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Goldberg, M.D.
• Randy Allen Goldberg, MD
• Alfred Goldyne, M.D.
• Edward Golembe
• Carey S Goltzman, MD
• Anna Gomberg, MD
• Dominic Succour Gomes, CRNA
• William A Gomes, M.D.
• Mary Gomez, MD
• Kristhiam Ferney Gonzalez Guiza, M.D., M.P.H

• Internal Medicine Physician in Valhalla, NY
• Providers in Valhalla, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.