Dr. Gary Goldenberg. Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS002335L Issued in PA

Legal business name

DR. GARY GOLDENBERG. INC

Practice address

3641 Lancaster Ave
Philadelphia, PA 19104-2603

Phone

(215) 387-1025

Fax

(215) 387-0765

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Gary Goldenberg, M.D.

Title

Owner

Phone

(215) 387-1025

Specialties & licenses 2

Addresses

Other names 1

• university city medical center Doing business as

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1891823449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 LANCASTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042603",
            "telephone_number": "215-387-1025",
            "fax_number": "215-387-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 LANCASTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042603",
            "telephone_number": "215-387-1025",
            "fax_number": "215-387-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY GOLDENBERG. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-387-1025",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC0051922",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS002335L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "university city medical center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.