Individual provider Active NPI

Joshua Evan Goldberg, D.O.

  • Otolaryngology Physician
  • Willow Grove, PA
National Provider Identifier
1962425520
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
OS009500L Issued in PA
Practice address
723 Fitzwatertown Rd
Willow Grove, PA 19090-1337
Phone
(215) 659-8805
Fax
(215) 784-9729
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X OS009500L PA Primary

Addresses

Primary practice location

723 Fitzwatertown Rd
Willow Grove, PA 19090-1337

Mailing address

723 Fitzwatertown Rd
Willow Grove, PA 19090-1337
Phone (215) 659-8805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070501000286 PA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 9537265905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose Throat Facial Plastic Surgery Specialists PCGroup PAC ID 2769618495, 2 clinicians

Practice addresses (Care Compare)

723 Fitzwatertown Rd
Willow Grove, PA 19090-1337
Phone (215) 659-8805

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS009500LPAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose Throat Facial Plastic Surgery Specialists PC Otolaryngology CurrentSince Sep 16, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

723 Fitzwatertown Rd
Willow Grove, PA 19090
Phone (215) 659-8805

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1962425520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 FITZWATERTOWN RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901337",
            "telephone_number": "215-659-8805",
            "fax_number": "215-784-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 FITZWATERTOWN RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901337",
            "telephone_number": "215-659-8805",
            "fax_number": "215-784-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JOSHUA",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "OS009500L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.