Active NPI
Tatiana Rendon Goldberger, ARNP
- Pediatrics Physician
- Hollywood, FL
National Provider Identifier
1912072653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ARNP3400242
- Practice address
- 3501 Johnson St
Hollywood, FL 33021-5421 - Phone
- (954) 265-6301
- Fax
- (954) 985-1434
- NPI assigned
- Nov 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ARNP3400242 | FL | Primary |
Addresses
Primary practice location
3501 Johnson St
Hollywood, FL 33021-5421
Mailing address
1117 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4488
Phone (954) 454-5131
Other practice location 1
6766 W Sunrise Blvd
#101
Plantation, FL 33313
Phone (954) 584-2900 ext. 105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307055700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tgoldberger12019@MHSDIRECT.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3400242 | FL | MD | Pediatrics Physician |
Interoperability endpoints
- tgoldberger12019@mhsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1912072653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 E HALLANDALE BEACH BLVD",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094488",
"telephone_number": "954-454-5131",
"fax_number": "954-241-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215421",
"telephone_number": "954-265-6301",
"fax_number": "954-985-1434"
}
],
"practiceLocations": [
{
"address_1": "6766 W Sunrise Blvd",
"address_2": "#101",
"address_purpose": "LOCATION",
"city": "Plantation",
"state": "FL",
"postal_code": "33313",
"country_code": "US",
"telephone_number": "954-584-2900 x105",
"fax_number": "954-584-0025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RENDON GOLDBERGER",
"first_name": "TATIANA",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ARNP3400242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "307055700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tgoldberger12019@MHSDIRECT.NET",
"affiliation": "N",
"address_1": "3501 Johnson St",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330215421",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.