JOHN MAYER GOLDBERG (NPI# 1528036563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528036563 |
Entity Type | Individual |
Full Name | JOHN MAYER GOLDBERG |
Credential | MD |
Practice Address |
1601 Nw 12th Ave 9th Floor Miami FL 33136-1005 |
Practice Telephone | 3052436275 |
Practice Fax Number | 3052433816 |
Mailing Telephone | 3052436275 |
Mailing Fax Number | 3052433816 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2014-01-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
ME101370 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 2810816-00 | 05 | |
MA | 2018161 | 05 | |
HPHC DFCI ONLY | AA39038 | 01 | |
TUFTS | 213948 | 01 | |
MASSACHUSETTS BCBS | J26754 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356319388 | John Michael Goldberg | Internal Medicine | 2501e Southern Ave, Ste 22, Tempe, AZ 85282 | 2006-03-08 |
1154349322 | John Goldberg | Internal Medicine | 5701 W 119th St, Suite 240, Overland Park, KS 66209-3722 | 2006-07-17 |
Street Address |
1601 NW 12TH AVE 9TH FLOOR |
City | MIAMI |
State | FL |
Zip Code | 33136-1005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932171196 | Lesley Jacqueline Smith | Pediatrics | 1601 Nw 12th Ave, Mailman Center 3005a, Div Peds Gi & Nutriton, Miami, FL 33136-1005 | 2006-02-02 |
1871131383 | Nancy Cruz | Specialist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2019-12-16 |
1750870341 | Cara Axelrod | Dietitian, Registered | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2018-05-09 |
1447750260 | Sadie Vega-velasquez | Speech-Language Pathologist | 1601 Nw 12th Ave, 5065, Miami, FL 33136 | 2018-02-19 |
1851819130 | Milvia Tellez | Nurse Practitioner | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2017-09-06 |
1457872749 | Daniela Marie Berrios | Speech-Language Pathologist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2017-06-28 |
1750815056 | Allison Weinstein | Psychologist | 1601 Nw 12th Ave, 4018a, Miami, FL 33136-1005 | 2017-04-13 |
1740714948 | Eileen Matias Davis | Psychologist | 1601 Nw 12th Ave, Suite 4059, Miami, FL 33136-1005 | 2017-04-13 |
1902350838 | Sandra Ibanez | Counselor | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2016-08-09 |
1538512660 | Brittani Houston | Audiologist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2016-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
Find all providers in zip 33136 |
Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225598626 | Kidz Medical Services, Inc. | Pediatrics | 3100 Sw 62 Ave Suite 121-north East Wing, Miami, FL 33155-3009 | 2019-03-21 |
1417429986 | Natalie Gallegos | Pediatrics | 3100 Sw 62nd Ave # 122, Miami, FL 33155-3009 | 2018-12-21 |
1679978118 | Baptist Health Medical Group Oncology LLC | Pediatrics | 8940 N. Kendall Dr, Ste. 300e, Miami, FL 33176 | 2014-10-27 |
1801138144 | Taumoha Ghosh | Pediatrics | 1601 Nw 12th Ave Fl 5, Miami, FL 33136-1005 | 2013-03-25 |
1194080382 | Jorge Ricardo Galvez Silva | Pediatrics | 3100 Sw 62nd Ave Ste 121, Miami, FL 33155-3009 | 2012-07-12 |
1609025915 | Maggie C. Fader | Pediatrics | 3100 Sw 62 Ave (#212, N.e. Wing), Miami, FL 33155 | 2008-09-10 |
1679791370 | Guillermo Roberto De Angulo | Pediatrics | 3100 Sw 62nd Avenue, Ne Wing, Suite 121, Miami, FL 33155 | 2007-04-20 |
1124553656 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Apcp- 6 Tower, Suite 6226, Miami, FL 33155-3009 | 2017-04-21 |
1245663087 | Ossama Mohammed Maher | Pediatrics | 3100 Sw 62nd Ave, Suite 121, Miami, FL 33155-3009 | 2013-08-15 |
1215280441 | Kidz Medical Services, Inc. | Pediatrics | 3100 Sw 62nd Ave, # 121, Miami, FL 33155-3009 | 2012-10-25 |
Find all providers in MIAMI |
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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.