JAY STEPHEN GOLDBERG (NPI# 1477654291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477654291 |
| Entity Type | Individual |
| Full Name | JAY STEPHEN GOLDBERG |
| Credential | MD |
| Practice Address |
430 Claremont Ct Suite 213 Colonial Heights VA 23834-1770 |
| Practice Telephone | 8045202626 |
| Practice Fax Number | 8045200626 |
| Mailing Telephone | 8045202626 |
| Mailing Fax Number | 8045200626 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101021527 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BCBS | 1477654291 | 01 |
| VA | 1477654291 | 05 |
| 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 |
| 1033222336 | Jay Michael Goldberg | Dentist | 2137 Welsh Road, Suite 3a, Phila, PA 19115 | 2006-08-17 |
| 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 |
430 CLAREMONT CT SUITE 213 |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834-1770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891813 | Steven R Frelier | Internal Medicine | 430 Claremont Ct, Suite 213, Colonial Heights, VA 23834-1770 | 2005-12-14 |
| 1326228800 | Partners In Family Medicine | Clinic/Center | 430 Claremont Ct, Suite 123, Colonial Heights, VA 23834-1770 | 2007-11-13 |
| 1396948808 | Shikha Sarebahi | Internal Medicine | 430 Claremont Ct, Suite 122, Colonial Heights, VA 23834-1770 | 2007-06-11 |
| 1912093352 | Rolanda Ann Mcdonald-johnson | Pediatrics | 430 Claremont Ct, Suite 211, Colonial Heights, VA 23834-1770 | 2006-10-05 |
| 1285687194 | Scott Rotsted | Physical Therapist | 430 Claremont Ct, Suite 122, Colonial Heights, VA 23834-1770 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
| 1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
| 1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
| 1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
| 1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
| 1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
| 1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| Find all providers in zip 23834 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1588275986 | Chs Virginia Medical P C | General Practice | 901 E Byrd St Ste 190, Richmond, VA 23219-4077 | 2020-08-11 |
| 1407465289 | Martine H Long | General Practice | 515 Cornerstone St, Lynchburg, VA 24502-5342 | 2020-07-28 |
| 1720617525 | Squadron Health Enterprises, LLC | General Practice | 10602 Allenwood Ln, Great Falls, VA 22066-3229 | 2020-04-03 |
| 1851929558 | Medical Care for Family LLC | General Practice | 6408k Seven Corners Pl Ste G, Falls Church, VA 22044-2007 | 2020-03-29 |
| 1104389337 | Bardia Nemati | General Practice | 731 Walker Rd # E1, Great Falls, VA 22066-2834 | 2019-04-14 |
| 1649733387 | Renaissance Medical Center | General Practice | 284 Blevins Blvd, Bristol, VA 24202-5977 | 2019-04-10 |
| 1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
| 1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
| 1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
| Find all providers with the same taxonomy | ||||
| City | COLONIAL HEIGHTS |
| Zip Code | 23834 |
Please comment or provide details below to improve the information on JAY STEPHEN 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.