GOLDBERG URGENT CARE PHYSICIAN PLLC


Address: 2960 Victory Blvd, Staten Island, NY 10314-6605
Phone: 8455653700

GOLDBERG URGENT CARE PHYSICIAN PLLC (NPI# 1699100206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699100206
Entity Type Organization
Organization Name GOLDBERG URGENT CARE PHYSICIAN PLLC
Other Organization Name CIRCLE URGENT CARE
Practice Address 2960 Victory Blvd
Staten Island
NY 10314-6605
Mailing Address 484 Temple Hill Rd
Suite 104
New Windsor
NY 12553-5557
Practice Telephone 8455653700
Mailing Telephone 8455653700
Mailing Fax Number 8455653696
Enumeration Date 2013-09-13
Last Update Date 2013-09-17
Authorized Official Name ALVIN GOLDBERG (SOLE PROPRIETOR)
Authorized Official Telephone 8455653700
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Circle Urgent Care Doing Business As Name - Organization

Office Location

Street Address 2960 VICTORY BLVD
City STATEN ISLAND
State NY
Zip Code 10314-6605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083633820 Avraham Jason Schreiber Emergency Medicine 2960 Victory Blvd, Staten Island, NY 10314-6605 2006-07-19
1154959526 Marika Zarafyan Simmons Physician Assistant 2960 Victory Blvd, Staten Island, NY 10314-6605 2020-03-31
1881191369 Melissa Marie Watson Nurse Practitioner 2960 Victory Blvd, Staten Island, NY 10314-6605 2018-04-10
1578917068 Laura Mcguinness Nurse Practitioner 2960 Victory Blvd, Staten Island, NY 10314-6605 2016-04-20
1770821183 Joseph Ferraro Nurse Practitioner 2960 Victory Blvd, Staten Island, NY 10314-6605 2013-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568076255 Edward Leccese Massage Therapist 77 Renee Place, Staten Island, NY 10314 2020-09-01
1871154633 Matthew Richard Puliatti Counselor 1688 Victory Boulevard, Staten Island, NY 10314 2019-06-24
1750845137 Miriam Gordon Pediatric Np PC Nurse Practitioner 7 Ismay Street, Staten Island, NY 10314 2019-01-30
1003391186 2791 Richmond LLC Dentist 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 2018-09-25
1477046522 Miriam A Madry Optometrist 569 Woolley Ave, Staten Island, NY 10314 2018-06-13
1174025894 Staten Island Dentistry P.C. Clinic/Center 979 Willowbrook Rd., Staten Island, NY 10314 2018-03-08
1205335023 Ashley Larsen Early Intervention Provider Agency 229 Wellington Ct, Staten Island, NY 10314 2018-02-07
1306369699 Victoria Ali Behavior Technician 228 Melvin Avenue, Staten Island, NY 10314 2017-07-19
1700307360 Lydia Mora Specialist 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 2017-07-03
1366971707 Lisa Pietracatella Massage Therapist 92 Margaretta Court, Staten Island, NY 10314 2017-06-08
Find all providers in zip 10314

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649625831 Ida Li Emergency Medicine 475 Seaview Ave # 2261548, Staten Island, NY 10305-3436 2016-04-26
1851707152 Basil M Joseph Emergency Medicine 59 Croak Ave, Staten Island, NY 10314-5679 2014-07-08
1730523069 Eugene Vortsman Emergency Medicine 963 W Fingerboard Rd, Staten Island, NY 10304-4413 2013-04-17
1184990293 Candice Cruz Emergency Medicine 663 W Fingerboard Rd, Apt 2, Staten Island, NY 10305-2633 2012-03-23
1801113766 Susan K Philip Emergency Medicine 45 Little Clove Road, Staten Island, NY 10314 2010-04-30
1730347949 Sanath Dharmasena Emergency Medicine 1290 Forest Hill Rd, Staten Island, NY 10314-6368 2008-05-26
1811169691 Paul Joseph Barbara Emergency Medicine 475 Seaview Avenue Staten Island University Hospital, Dept of Emergency Medicine, Staten Island, NY 10305 2008-04-01
1083633820 Avraham Jason Schreiber Emergency Medicine 2960 Victory Blvd, Staten Island, NY 10314-6605 2006-07-19
1780602177 Jonathan Villaroman Reyes Emergency Medicine 244 Buel Avenue, Staten Island, NY 10305 2006-07-17
1932145869 Leila De Almeida Emergency Medicine 61 Venus Ln, Staten Island, NY 10314-5964 2006-06-20
Find all providers in STATEN ISLAND

Competitor

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City STATEN ISLAND
Zip Code 10314

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Dataset Information

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.

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