Active NPI
Roy Jeffrey Goldberg, MD
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
National Provider Identifier
1962514034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 156644
- Practice address
- 2000 E Gun Hill Rd
Bronx, NY 10469-6016 - Phone
- (718) 405-3535
- Fax
- (718) 405-3501
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 156644 | NY | Primary |
Addresses
Primary practice location
2000 E Gun Hill Rd
Bronx, NY 10469-6016
Mailing address
Pob 483
Patterson, NY 12563
Phone (914) 262-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00948169 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156644 | NY | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roy J. Goldberg, MD, PC | Geriatric Medicine | Current | Accepting new patients |
| New Rochelle Medical Services, PC Division of OBGYN | Past | Accepting new patients | |
| Bayberry Nursing Home | Past | Accepting new patients | |
| Richard G. Karanfilian, M.D.,P.C. | Past | Accepting new patients |
Locations
2000 E Gun Hill Rd
Bronx, NY 10469
Phone (718) 320-0400
40 Keogh Ln
#D
New Rochelle, NY 10805
Phone (914) 636-6200
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1134239692
-
- Skilled Nursing Facility
- New Rochelle, NY
- NPI 1750387916
-
- Obstetrics & Gynecology Physician
- New Rochelle, NY
- NPI 1033183132
-
- Vascular Surgery Physician
- New Rochelle, NY
- NPI 1508020082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962514034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POB 483",
"city": "PATTERSON",
"state": "NY",
"postal_code": "12563",
"telephone_number": "914-262-4141",
"fax_number": "718-405-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E GUN HILL RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104696016",
"telephone_number": "718-405-3535",
"fax_number": "718-405-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "ROY",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "156644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00948169",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.