Individual provider Active NPI

Todd Michael Goldberg, DO

  • Obstetrics & Gynecology Physician
  • Pembroke Pines, FL
National Provider Identifier
1962481028
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS6703 Issued in FL
Practice address
603 N Flamingo Rd
#361
Pembroke Pines, FL 33028-1023
Phone
(954) 432-7900
Fax
(954) 433-4903
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS6703 FL Primary

Addresses

Primary practice location

603 N Flamingo Rd
#361
Pembroke Pines, FL 33028-1023

Mailing address

603 N Flamingo Rd
Suite 361
Pembroke Pines, FL 33028-1023
Phone (954) 432-7900

Other identifiers 2

IdentifierTypeStateIssuer
375827300MedicaidFL
80888OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040525001151 FL Practitioner - Obstetrics/Gynecology 7214918465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLC 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

603 N Flamingo Rd
262 Sylvia Velarde MD LLC
Pembroke Pines, FL 33028-1013
Phone (954) 251-3186

603 N Flamingo Rd
361 Gemini OBGYN LLC
Pembroke Pines, FL 33028-1005
Phone (954) 432-7900

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Jan 1, 2009 Accepting new patients
FWC Perinatal, LLC Past Accepting new patients
All Womens Healthcare of Southern Florida Inc Obstetrics & Gynecology Past Accepting new patients
All Womens Healthcare of Southern Florida Inc Obstetrics & Gynecology Past Accepting new patients
All Womens Healthcare of South Florida Inc Obstetrics & Gynecology Past Accepting new patients
Feinerman Anesthesia PA Past Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

1951 SW 172nd Ave
Ste 312
Miramar, FL 33029
Phone (954) 432-3224

603 N Flamingo Rd
Ste 360
Pembroke Pines, FL 33028
Phone (954) 430-4085

603 N Flamingo Rd
Ste 360A
Pembroke Pines, FL 33028
Phone (954) 384-2522

603 N Flamingo Rd
Ste 361
Pembroke Pines, FL 33028
Phone (954) 432-7900

603 N Flamingo Rd
Ste 351
Pembroke Pnes, FL 33028
Phone (954) 430-3866

333 NW 70th Ave
Ste 120
Plantation, FL 33317
Phone (954) 791-2810

1601 Town Center Blvd
Weston, FL 33326
Phone (954) 389-4000

2300 N Commerce Pkwy
Ste 205
Weston, FL 33326
Phone (954) 217-5721

Organizations & group practices 6

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 3

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1962481028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "SUITE 361",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-432-7900",
            "fax_number": "954-433-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "#361",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-432-7900",
            "fax_number": "954-433-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS6703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375827300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80888",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.