Barry S Goldberg, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

020126 Issued in CT

Practice address

25 Tamarack Ave
Advanced Derm Care PC
Danbury, CT 06811

Phone

(203) 797-8990

Fax

(203) 743-2199

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1922059823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TAMARACK AVE",
            "address_2": "ADVANCED DERM CARE PC",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06811",
            "telephone_number": "203-797-8990",
            "fax_number": "203-743-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 TAMARACK AVE",
            "address_2": "ADVANCED DERM CARE PC",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06811",
            "telephone_number": "203-797-8990",
            "fax_number": "203-743-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "BARRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "020126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201268",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoe Glinski, PA-C
• Felice Carmel Godfrey, COTA
• Neetu Godhwani, MD
• Suruchi Goel, DDS
• Mona A Gohara, MD
• David Goldenberg, M.D.
• Monique Goldman, LCSW
• Daniel A Goldstein, MD
• Robert B Golenbock, MD
• April Lynn Goller, DO

• Dermatology Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.