NPIMap

Organization Active NPI

Howard S Goldberg MD Inc

  • Dermatology Physician
  • Swampscott, MA
National Provider Identifier
1912938531
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
30395 Issued in MA
Legal business name
HOWARD S GOLDBERG MD INC
Practice address
990 Paradise Rd
Swampscott, MA 01907
Phone
(781) 595-0151
Fax
(781) 592-6780
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Dr. Howard S Goldberg, MDNPI 1619920352
Title
Owner
Phone
(781) 595-0151

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
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 30395 MA Primary

Addresses

Primary practice location

990 Paradise Rd
Swampscott, MA 01907

Mailing address

990 Paradise Rd
Swampscott, MA 01907
Phone (781) 595-0151

Other identifiers 1

IdentifierTypeStateIssuer
9731334MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Goldberg.Howard.HSGMD@direct.partners.masshiway.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041110000728 MA Part B Supplier - Clinic/Group Practice 0244292688 Receives reassigned benefits from 15 practitioners
Practice locations: Swampscott, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0072589Howard S Goldberg, MD Inc990 Paradise Rd, Swampscott, MA 01907ComplianceSep 14, 2027

National Provider Directory

National Provider Directory

Locations

990 Paradise Rd
Ste 2A
Swampscott, MA 01907

990 Paradise Rd
Ste 2B
Swampscott, MA 01907
Phone (781) 595-0151

Interoperability endpoints

  • Direct secure messaging: takeyama.mana.hsgmd@direct.partners.masshiway.net
  • Direct secure messaging: do.daihung.hsgmd@direct.partners.masshiway.net
  • Direct secure messaging: volf.eva.hsgmd@direct.partners.masshiway.net
  • Direct secure messaging: wahl.cassandra.hsgmd@direct.partners.masshiway.net
  • Direct secure messaging: mason.holly.hsgmd@direct.partners.masshiway.net
  • Direct secure messaging: goldberg.howard.hsgmd@direct.partners.masshiway.net
  • Direct secure messaging: dedominicis.susan.hsgmd@direct.partners.masshiway.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1912938531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PARADISE RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "01907",
            "telephone_number": "781-595-0151",
            "fax_number": "781-592-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PARADISE RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "01907",
            "telephone_number": "781-595-0151",
            "fax_number": "781-592-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD S GOLDBERG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-595-0151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "MA",
            "license": "30395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9731334",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Goldberg.Howard.HSGMD@direct.partners.masshiway.net",
            "affiliation": "N",
            "endpointDescription": "Howard S Goldberg MD Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "990 Paradise Rd",
            "city": "Swampscott",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.