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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Circle Urgent Care | Doing Business As Name - Organization |
Street Address |
2960 VICTORY BLVD |
City | STATEN ISLAND |
State | NY |
Zip Code | 10314-6605 |
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 |
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 Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
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. |
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 |
City | STATEN ISLAND |
Zip Code | 10314 |
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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.