DR. FRED GOLDBERG (NPI# 1376616730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376616730 |
| Entity Type | Individual |
| Full Name | DR. FRED GOLDBERG |
| Credential | D.P.M. |
| Practice Address |
222 Route 59 Suite 208 Suffern NY 10901-5204 |
| Practice Telephone | 8453574433 |
| Practice Fax Number | 8453570518 |
| Mailing Telephone | 8453574433 |
| Mailing Fax Number | 8453570518 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N2584 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BG9498177 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871660571 | Fred Elias Goldberg | Optometrist | 1340 Old Chain Bridge Rd, Suite 102, Mclean, VA 22101-3955 | 2006-11-29 |
| Street Address |
222 ROUTE 59 SUITE 208 |
| City | SUFFERN |
| State | NY |
| Zip Code | 10901-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526016 | Joel H Selter | Specialist | 222 Route 59, Ste 109, Suffern, NY 10901-5207 | 2005-05-24 |
| 1598279846 | Florence Bruckman | Behavioral Analyst | 222 Route 59, Suffern, NY 10901-5204 | 2017-11-23 |
| 1962809822 | Physical Medicine of Ramapo Pllc | Pain Medicine | 222 Route 59, Suite 106, Suffern, NY 10901-5207 | 2014-11-20 |
| 1053724708 | Katherine Townley | Physician Assistant | 222 Route 59, Suite 205, Suffern, NY 10901-5204 | 2014-06-10 |
| 1881945343 | Jessica Lauren Valle | Physician Assistant | 222 Route 59, Suite 109, Suffern, NY 10901-5204 | 2012-09-25 |
| 1194076646 | Chito A Oclarit | Physical Therapist | 222 Route 59, Suite #106, Suffern, NY 10901-5204 | 2012-09-24 |
| 1811253032 | Oluremi Williams | Nurse Practitioner | 222 Route 59, Suffern, NY 10901-5204 | 2012-04-02 |
| 1821383423 | Dipika Eila Rana | Pediatrics | 222 Route 59, Suite 306, Suffern, NY 10901-5204 | 2011-06-13 |
| 1245543776 | Ramapo Medical Services, PC | Physical Medicine & Rehabilitation | 222 Route 59, Suite 106, Suffern, NY 10901-5204 | 2010-07-26 |
| 1952626566 | James B. Israel, M.d., P.C. | Internal Medicine | 222 Route 59, Suite 105, Suffern, NY 10901-5207 | 2010-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895309 | Constance Marie Princiotto | Registered Nurse | J&d Ultracare, 15 Suffern Pl, Suffern, NY 10901 | 2020-09-10 |
| 1376101790 | Tenika Filomena Walters | Licensed Practical Nurse | 15 Suffen Place, Suffen, NY 10901 | 2019-05-31 |
| 1922563261 | Matthew Abel | Dietitian, Registered | 156 Ny-59, A2, Suffern, NY 10901 | 2019-01-31 |
| 1609349422 | Yona Newmark | Behavioral Analyst | 84 Route 59 Suite 102, Suffern, NY 10901 | 2019-01-03 |
| 1235606005 | William M Mazariego | Specialist/Technologist | 5 Tallman Pl, Suffern, NY 10901 | 2018-10-30 |
| 1396237228 | Stephanie N Freer | Registered Nurse | 15 Suffern Pl., Suffern, NY 10901 | 2018-06-06 |
| 1588102669 | Lisa Arcuri | Registered Nurse | 15 Suffern Place Ste A, Suffern, NY 10901 | 2017-02-08 |
| 1801342787 | Maria Castro-cancel | Social Worker | 58 Campbell Avenue, Airmont, NY 10901 | 2016-08-30 |
| 1811341530 | Simone Raven Pringle | Licensed Practical Nurse | 15 Suffern Place, Suite A, Suffern, NY 10901 | 2016-04-19 |
| 1871998666 | Simi Samuel | Specialist | 13 Hillside Ct, Suffern, NY 10901 | 2014-10-23 |
| Find all providers in zip 10901 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033217112 | Mark H Wells | Podiatrist | 17 Indian Rock Shopping Center, Suffern, NY 10901 | 2006-09-20 |
| 1841300399 | Howard Evan Friedman | Podiatrist | 29 North Airmont Rd, Suffern, NY 10901 | 2006-08-30 |
| 1861472763 | Stanley B Leshen | Podiatrist | 102 Washington Ave, Suffern, NY 10901-6014 | 2006-01-18 |
| 1447376108 | Barry Sussner Dpm | Podiatrist | 222 Route 59, Suite 305, Suffern, NY 10901-5204 | 2007-03-22 |
| 1316054760 | Barry Sussner | Podiatrist | 222 Route 59, Suite 305, Suffern, NY 10901-5204 | 2006-08-23 |
| 1063464238 | Rockland Podiatry | Podiatrist | 222 Route 59, 208, Suffern, NY 10901-5204 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. FRED GOLDBERG.
| 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.