DR. MICHAEL ELLIS GOLDBERG (NPI# 1215034673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215034673 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ELLIS GOLDBERG |
| Credential | M.D. |
| Practice Address |
710 W 168th Street New York NY 10032-2699 |
| Practice Telephone | 2125436931 |
| Practice Fax Number | 2125435816 |
| Mailing Telephone | 2125436931 |
| Mailing Fax Number | 2125435816 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
225939-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 225939 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02702298 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285835140 | Michael Goldberg | Internal Medicine | 2100 Keystone Ave Ste 206, Drexel Hill, PA 19026 | 2007-05-29 |
| 1821150657 | Michael Goldberg | Family Medicine | 11146 76th Dr, Forest Hills, NY 11375-7010 | 2006-12-15 |
| 1205843760 | Michael J Goldberg | Optometrist | 3332 Nw Federal Hwy, Jensen Beach, FL 34957-4402 | 2006-08-01 |
| 1043252141 | Michael Jay Goldberg | Dentist | 2901 W Oakland Park Blvd, B-21, Oakland Park, FL 33311-1243 | 2006-06-12 |
| 1467413104 | Michael S Goldberg | Physical Therapist | 631 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3030 | 2006-03-31 |
| 1598293409 | Michael Anatolevich Goldberg | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2017-05-23 |
| 1891140794 | Michael Louis Goldberg | Internal Medicine | 36 College Ave, Nanuet, NY 10954-3093 | 2016-04-28 |
| 1699151530 | Michael Joseph Goldberg | Pharmacist | 9043 W Olive Ave, Peoria, AZ 85345-7049 | 2015-08-03 |
| 1003215385 | Michael R Goldberg | Psychologist | 243 Nassau Blvd, Garden City, NY 11530-5532 | 2014-08-22 |
| 1114206752 | Michael B Goldberg | Surgery | 501 W 14th St, Wilmington, DE 19801-1013 | 2011-08-14 |
| Street Address |
710 W 168TH STREET |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-2699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417132119 | Tao Xie | Psychiatry & Neurology | 710 W 168th Street, Neurological Institute, 3rd Floor, New York, NY 10032 | 2008-01-01 |
| 1568685436 | Susan Jacob | Nurse Practitioner | 710 W 168th Street, New York, NY 10032-2699 | 2007-04-10 |
| 1942392592 | Linda Donelle Lewis | Psychiatry & Neurology | 710 W 168th Street, New York, NY 10032-2699 | 2006-09-29 |
| 1851483408 | Ronald M. Lazar | Clinical Neuropsychologist | 710 W 168th Street, New York, NY 10032-2699 | 2006-09-29 |
| 1295836021 | Catherine A. Schevon | Psychiatry & Neurology | 710 W 168th Street, New York, NY 10032-2699 | 2006-09-26 |
| 1568563393 | Anne H. Remmes | Psychiatry & Neurology | 710 W 168th Street, New York, NY 10032-2699 | 2006-09-26 |
| 1275634008 | Alison M. Pack | Psychiatry & Neurology | 710 W 168th Street, New York, NY 10032-2699 | 2006-09-26 |
| 1972604700 | Michael Daras | Psychiatry & Neurology | 710 W 168th Street, New York, NY 10032-2699 | 2006-09-26 |
| 1336240175 | Hyunmi Choi | Psychiatry & Neurology | 710 W 168th Street, New York, NY 10032-2699 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194172171 | Milna Rose Rufin | Hospitalist | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2016-05-19 |
| 1831553809 | Fatima Chaudhri | Hospitalist | 1st Avenue At E16th Street, New York, NY 10003-2925 | 2016-04-06 |
| 1902269806 | Lindsey Fox | Hospitalist | 1111 Amsterdam Ave Dept Of, New York, NY 10025-1716 | 2016-03-30 |
| 1871930594 | Saad Syed Hussain | Hospitalist | Lutheran Medical Center, 55th Street, 155, New York, NY 11220 | 2013-06-04 |
| 1679829832 | Vasundhara Singh | Hospitalist | 1000 10th Ave Dept Of, New York, NY 10019-1147 | 2012-07-25 |
| 1417288861 | Pooja Ramjeet Singh | Hospitalist | 555 Madison Ave, New York, NY 10022-3301 | 2010-01-25 |
| 1518109354 | Jessica Lee Cohen | Hospitalist | 1 Gustave L Levy Pl # 1118, New York, NY 10029-6500 | 2009-03-25 |
| 1326070855 | Sonjay B Shrinivas | Hospitalist | 353 E 17th St, Apt# 20e, New York, NY 10003-3821 | 2006-07-07 |
| 1407377559 | Jose Andres Perez Moscoso | Hospitalist | 1901 1st Ave, New York, NY 10029-7404 | 2017-06-29 |
| 1700315538 | New York General Medical Services PC | Hospitalist | 1060 Amsterdam Ave, New York, NY 10025-1715 | 2017-06-06 |
| Find all providers in NEW YORK | ||||
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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.