Active NPI
Don L Goldenberg, M.D.
- Rheumatology Physician
- Newton, MA
National Provider Identifier
1992701502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 34653
- Practice address
- 2000 Washington St
Ste 304
Newton, MA 02462-1602 - Phone
- (617) 243-5440
- Fax
- (617) 243-6453
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 34653 | MA | Primary |
Addresses
Primary practice location
2000 Washington St
Ste 304
Newton, MA 02462-1602
Mailing address
PO Box 848740
Boston, MA 02284-8740
Phone (617) 243-5440
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C16097 | Other | MA | BCBS OF MASSACHUSETTS |
| 9757562 | Medicaid | MA | |
| 0024412 | Other | MA | AETNA US HEALTHCARE |
| 034653 | Other | MA | TUFTS PROVIDER NUMBER |
| 25022 | Other | MA | HARVARD PILGRIM |
| 0004083388 | Other | MA | AETNA PROVIDER NUMBER |
| 32-00005 | Other | MA | UNITED HEALTHCARE |
| B20387801 | Other | MA | CIGNA PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34653 | MA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1992701502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848740",
"city": "BOSTON",
"state": "MA",
"postal_code": "022848740",
"telephone_number": "617-243-5440",
"fax_number": "617-243-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WASHINGTON ST",
"address_2": "STE 304",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621602",
"telephone_number": "617-243-5440",
"fax_number": "617-243-6453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "DON",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MA",
"license": "34653",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MASSACHUSETTS",
"identifier": "C16097",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9757562",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "0024412",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS PROVIDER NUMBER",
"identifier": "034653",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "25022",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "0004083388",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "32-00005",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "B20387801",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.