Active NPI
Lynne J Goldberg, MD
- Dermatology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 75274
- Practice address
- 725 Albany St
Shapiro 8
Boston, MA 02118-2526 - Phone
- (617) 638-7420
- Fax
- (617) 638-7289
- NPI assigned
- Nov 4, 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 |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 75274 | MA | |
| Dermatology Physician | 207N00000X | 75274 | MA | Primary |
Addresses
Primary practice location
725 Albany St
Shapiro 8
Boston, MA 02118-2526
Mailing address
720 Harrison Ave
Dob 503
Boston, MA 02118-2371
Other practice location 1
1822 N Main St Ste 302
Fall River, MA 02720-1350
Phone (508) 235-1118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110053989A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75274 | MA | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratory of Dermatopathology Adx, LLC | Current | Accepting new patients | |
| Dermpath New England, LLC | Current | Accepting new patients | |
| Boston University Mallory Pathology Associates, Inc. | Current | Accepting new patients | |
| Child Health Foundation of Boston, Inc. | Past | Accepting new patients | |
| Evans Medical Foundation, Inc. | Past | Accepting new patients | |
| New England Tissue Issue, PLLC | Dermatopathology | Past | Accepting new patients |
Locations
670 Albany St
Ste 3
Boston, MA 02118
Phone (617) 414-4291
1380 Soldiers Field Rd
Ste 3800
Brighton, MA 02135
Phone (617) 254-7284
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
80 Crossways Park Dr
Ste 100
Woodbury, NY 11797
Phone (516) 944-3882
1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818
Organizations & group practices 6
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Boston, MA
- NPI 1457308637
-
- Clinical Medical Laboratory
- Wellesley, MA
- NPI 1558451666
-
- Dermatopathology (Pathology) Physician
- Woodbury, NY
- NPI 1487663860
-
- Pediatrics Physician
- Boston, MA
- NPI 1619969920
-
- Internal Medicine Physician
- Boston, MA
- NPI 1912954124
-
- Clinical Medical Laboratory
- Fall River, MA
- NPI 1255649828
Dermatopathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1861483018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE",
"address_2": "DOB 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ALBANY ST",
"address_2": "SHAPIRO 8",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182526",
"telephone_number": "617-638-7420",
"fax_number": "617-638-7289"
}
],
"practiceLocations": [
{
"address_1": "1822 N Main St Ste 302",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027201350",
"country_code": "US",
"telephone_number": "508-235-1118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDBERG",
"first_name": "LYNNE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "MA",
"license": "75274",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "75274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110053989A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.