Judith Carol Goldberg-Berman, M.D., PH.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

033-952 Issued in CT

Practice address

56 Lafayette PL
Suite a
Greenwich, CT 06830-5430

Phone

(203) 622-9160

Fax

(203) 661-3887

NPI assigned

Jan 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 26, 2024 through Dec 26, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15412/brand/1/csg/1/fhir/r4
• Direct secure messaging: jgoldbergberman25459@direct.ynhh.org
• Direct secure messaging: judy@judithgoldbergbermanmdphd.kareodirect.com

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.

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  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1912986571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 LAFAYETTE PL",
            "address_2": "SUITE A",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305430",
            "telephone_number": "203-622-9160",
            "fax_number": "203-661-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 LAFAYETTE PL",
            "address_2": "SUITE A",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305430",
            "telephone_number": "203-622-9160",
            "fax_number": "203-661-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG-BERMAN",
        "first_name": "JUDITH",
        "middle_name": "CAROL",
        "credential": "M.D., PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "033-952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912986571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betsy Clarkson Glenday, P.A.
• Glenville Medical Associates P.C
• Phyllis Glick Kosminsky, PHD, LCSW
• Hrishikesh Gogate, DDS
• Julie M Gold, M.D.
• Ellen Golden, DPM
• Karli Provost Goldstein, D.O.
• Deborah Anne Gorman, PMHNP
• Thomas Francis Gorman, DDS
• Marcia Graca, PA

• Specialist in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.