Active NPI
Samantha Goldberg
- Specialist
- Cortlandt Manor, NY
National Provider Identifier
1922509207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2558421
- Practice address
- 6 Perry St
Cortlandt Manor, NY 10567-1034 - Phone
- (914) 629-5879
- NPI assigned
- Feb 22, 2018
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2558421 | NY | Primary |
Addresses
Primary practice location
6 Perry St
Cortlandt Manor, NY 10567-1034
Mailing address
144 Country Ridge Rd
Scarsdale, NY 10583-6626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1182974302 | Other | UNITEDHEALTHCARE OXFORD |
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 |
|---|---|---|---|
| 2558421 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1922509207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 COUNTRY RIDGE RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105836626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PERRY ST",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105671034",
"telephone_number": "914-629-5879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2558421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE OXFORD",
"identifier": "1182974302",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.