Active NPI
James N Goldenberg, MD
- Neurology Physician
- Atlantis, FL
National Provider Identifier
1922043199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME059202
- Practice address
- 130 JFK Dr Ste 201
Atlantis, FL 33462-1142 - Phone
- (561) 968-2933
- Fax
- (561) 209-2923
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME059202 | FL | Primary |
Addresses
Primary practice location
130 JFK Dr Ste 201
Atlantis, FL 33462-1142
Mailing address
610 N Lakeside Dr
Lake Worth, FL 33460-3121
Phone (561) 313-4489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374781600 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME059202 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coordinated Neurologic Services 2 | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Atlantis, FL
- NPI 1134647878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1922043199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N LAKESIDE DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603121",
"telephone_number": "561-313-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 JFK DR STE 201",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334621142",
"telephone_number": "561-968-2933",
"fax_number": "561-209-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "JAMES",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME059202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374781600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.