NPIMap

Individual provider Active NPI

Barry Goldberg, MD

  • Diagnostic Radiology Physician
  • Saratoga SPGS, NY
National Provider Identifier
1871583989
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
220617 Issued in NY
Practice address
211 Church St
Saratoga SPGS, NY 12866-1046
Phone
(518) 583-8461
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 220617 NY Primary

Addresses

Primary practice location

211 Church St
Saratoga SPGS, NY 12866-1046

Mailing address

PO Box 130
Latham, NY 12110-0130
Phone (518) 786-1291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000578 NY Practitioner - Diagnostic Radiology 9335129303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Medical Imaging PCGroup PAC ID 5799776910, 34 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220617NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Medical Imaging PC Diagnostic Radiology CurrentSince May 2, 2005 Accepting new patients

Locations

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

17 Chenango Bridge Rd
Binghamton, NY 13901
Phone (607) 772-2995

65 Pennsylvania Ave
Binghamton, NY 13903
Phone (607) 723-5393

6400 Collamer Rd
East Syracuse, NY 13057
Phone (315) 437-1622

415 E Main St
Endicott, NY 13760
Phone (607) 785-2460

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

203 Old Military Rd
Lake Placid, NY 12946
Phone (518) 523-1327

7 Herbert Dr
Latham, NY 12110
Phone (518) 785-3511

6 Medical Park Dr
Malta, NY 12020
Phone (518) 289-2020

2388 Route 9
Mechanicville, NY 12118
Phone (518) 587-0845

202 S Central Ave
Mechanicville, NY 12118
Phone (518) 580-2099

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

3040 Route 50
Saratoga Springs, NY 12866
Phone (518) 580-2170

7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000

Organizations & group practices 1

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.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871583989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121100130",
            "telephone_number": "518-786-1291",
            "fax_number": "518-786-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "SARATOGA SPGS",
            "state": "NY",
            "postal_code": "128661046",
            "telephone_number": "518-583-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "BARRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "220617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga SPGS, NY

Sources for this page

Verify at the official NPI Registry.