DR. JAY MICHAEL GOLDBERG (NPI# 1033222336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033222336 |
| Entity Type | Individual |
| Full Name | DR. JAY MICHAEL GOLDBERG |
| Credential | DDS |
| Practice Address |
2137 Welsh Road Suite 3a Phila PA 19115 |
| Practice Telephone | 2159691222 |
| Practice Fax Number | 2159691233 |
| Mailing Telephone | 2159691222 |
| Mailing Fax Number | 2159691233 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2015-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DS023661L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790929305 | Jay A Goldberg | Dermatology | 339 Old Haymaker Rd, Parkway Building Suite 201, Monroeville, PA 15146-1435 | 2009-04-27 |
| 1477654291 | Jay Stephen Goldberg | General Practice | 430 Claremont Ct, Suite 213, Colonial Heights, VA 23834-1770 | 2006-09-26 |
| 1225141971 | Jay W. Goldberg | Emergency Medicine | 347 Andrieux Street, Sonoma, CA 95476-6811 | 2006-08-16 |
| 1780603464 | Jay D. Goldberg | Obstetrics & Gynecology | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2006-07-19 |
| 1467492082 | Jay M Goldberg | Specialist | 8920 Wilshire Blvd #511, Beverly Hills, CA 90211-2009 | 2006-06-08 |
| Street Address |
2137 WELSH ROAD SUITE 3A |
| City | PHILA |
| State | PA |
| Zip Code | 19115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306904909 | Frederic Barnett | Dentist | 5501 Old York Rd, Dental Medicine, Phila, PA 19141-3018 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982817 | Hallie Rose Landy | Dentist | 2101 Chestnut St Unit 1426, Philadelphia, PA 19103-3138 | 2020-08-12 |
| 1720696123 | Jmk Endodontics LLC | Dentist | 2 Meridian Blvd Ste 216, Wyomissing, PA 19610-3202 | 2020-07-21 |
| 1770105009 | Nhan James Huu Ngo | Dentist | 215 Upland Sq Dr, Pottstown, PA 19464-9427 | 2020-05-08 |
| 1528627130 | Butler Endodontics | Dentist | 1140 N Main Street Ext, Butler, PA 16001-1957 | 2019-06-07 |
| 1518525138 | Melanie Elizabeth Wallace Martel | Dentist | 600 W Dekalb Pike Ste 301, King of Prussia, PA 19406-3060 | 2019-05-29 |
| 1235794215 | Chester County Endodontics, PC | Dentist | 404 Mcfarlan Rd Ste 302, Kennett Square, PA 19348-2479 | 2019-05-06 |
| 1487147039 | Three Rivers Endodontics East LLC | Dentist | 5770 Baum Blvd Ste 150, Pittsburgh, PA 15206-3763 | 2018-06-08 |
| 1558868182 | Downtown Endodontics, LLC | Dentist | 125 Sixth Street, Suite A, Pittsburgh, PA 15222 | 2018-04-10 |
| 1245747583 | Jk Endodontics | Dentist | 555 Second Ave Ste G-108, Collegeville, PA 19426-3600 | 2018-01-09 |
| 1194173377 | David Shin | Dentist | 3945 Chestnut St Apt 405, Philadelphia, PA 19104-3626 | 2016-05-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.