Active NPI
Don L. Goldenberg MD PC
- Specialist
- Newton, MA
National Provider Identifier
1861519910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 34653
- Legal business name
- DON L. GOLDENBERG MD PC
- Practice address
- 2000 Washington St
Suite 304
Newton, MA 02462-1650 - Phone
- (617) 243-5440
- Fax
- (617) 243-6453
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Don L. Goldenberg, MD
- Title
- President
- Phone
- (617) 243-5440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 34653 | MA | Primary |
Addresses
Primary practice location
2000 Washington St
Suite 304
Newton, MA 02462-1650
Mailing address
PO Box 848740
Boston, MA 02284-8740
Phone (617) 243-5440
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034653 | Other | MA | TUFTS HEALTH PLAN |
| 25022 | Other | MA | HARVARD PILGRIM HEALTH |
| 9757562 | Medicaid | MA | |
| M14823 | Other | MA | BCBS |
National Provider Directory
National Provider DirectoryLocations
2000 Washington St
Ste 304
Newton Lower Falls, MA 02462
Phone (617) 243-5440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280966400000",
"number": "1861519910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848740",
"city": "BOSTON",
"state": "MA",
"postal_code": "022848740",
"telephone_number": "617-243-5440",
"fax_number": "617-243-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WASHINGTON ST",
"address_2": "SUITE 304",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621650",
"telephone_number": "617-243-5440",
"fax_number": "617-243-6453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DON L. GOLDENBERG MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2010-08-05",
"status": "A",
"authorized_official_last_name": "GOLDENBERG",
"authorized_official_first_name": "DON",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-243-5440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "34653",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "034653",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "25022",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9757562",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M14823",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.