NPIMap

Organization Active NPI

Jonathan L. Goldberg DMD

  • Dentist
  • Hamden, CT
National Provider Identifier
1871833897
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
006889 Issued in CT
Legal business name
JONATHAN L. GOLDBERG DMD
Practice address
4133 Whitney Ave
Hamden, CT 06518-1432
Phone
(203) 230-2265
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. Jonathan L Goldberg, DMDNPI 1275687758
Title
Owner
Phone
(203) 230-2265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 006889 CT Primary

Addresses

Primary practice location

4133 Whitney Ave
Hamden, CT 06518-1432

Mailing address

4133 Whitney Ave
Hamden, CT 06518-1432
Phone (203) 230-2265

National Provider Directory

National Provider Directory

Locations

4133 Whitney Ave
Hamden, CT 06518
Phone (203) 230-2265

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1871833897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181432",
            "telephone_number": "203-230-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181432",
            "telephone_number": "203-230-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN L. GOLDBERG DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-230-2265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "006889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.