DR. STANLEY GOLDBERG (NPI# 1720157506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720157506 |
Entity Type | Individual |
Full Name | DR. STANLEY GOLDBERG |
Credential | MD |
Practice Address |
1400 Pelham Pkwy S Gi Endoscopy, Building One, 2-south Bronx NY 10461-1138 |
Mailing Address |
100 Chester Pl Englewood NJ 07631-3634 |
Practice Telephone | 7189185653 |
Practice Fax Number | 7189185649 |
Mailing Telephone | 2018719138 |
Enumeration Date | 2006-11-07 |
Last Update Date | 2015-05-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 181178 | NY | Allopathic & Osteopathic Physicians |
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
181178 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01404902 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467540120 | Stanley Joseph Goldberg | Surgery | 1045 Atlantic Ave, Suite 1002, Long Beach, CA 90813-3408 | 2006-10-10 |
1366545865 | Stanley B Goldberg | Internal Medicine | 1001 Potrero Ave, Rm 3d5, San Francisco, CA 94110-3518 | 2006-09-07 |
1740298538 | Stanley Morton Goldberg | Colon & Rectal Surgery | 6363 France Ave S, Suite 212, Edina, MN 55435-2129 | 2006-08-04 |
1346280443 | Stanley J Goldberg | Surgery | 13640 N Plaza Del Rio Blvd, Ste 310, Peoria, AZ 85381-4846 | 2006-06-07 |
1629041470 | Stanley Julian Goldberg | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-02-10 |
Street Address |
1400 PELHAM PKWY S GI ENDOSCOPY, BUILDING ONE, 2-SOUTH |
City | BRONX |
State | NY |
Zip Code | 10461-1138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417942202 | Hale I Perlmutter | Physician Assistant | 1400 Pelham Pkwy S, Building 1 Psychiatry, Bronx, NY 10461-1138 | 2005-09-16 |
1992305213 | Heesun Huh | Pharmacist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-10-27 |
1366059461 | Lifan Liang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-09-23 |
1891301792 | Felipe Jorge Simoes Jones | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Jacobi Medical Center, Bronx, NY 10461 | 2020-09-17 |
1700491875 | Amr Walid Aljaerh | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-09-15 |
1669087508 | Ahmad Anjum | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-09-08 |
1144831744 | Paras Malik | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-17 |
1508477167 | Maria Gabriela Rubianes Guerrero | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-08-16 |
1215548763 | Sneha Nandy | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-10 |
1801406368 | Ajita Naik | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
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Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962686188 | Simeon Carvajal Md PC | Internal Medicine | Simeon Carvajal Md PC, Bronx Labanon Hosp. 1650 Grand Concourse, Bronx, NY 10457-0001 | 2007-12-24 |
1619182169 | Doctor's Private Office | Internal Medicine | Doctors's Private Office, 1578 Williamsbridge Road, Bronx, NY 10461 | 2007-05-10 |
1265564686 | David A Shafritz | Internal Medicine | 1300 Morris Park Ave. Ste. 603, Aecom - L.r.c. - Ullmann, Bronx, NY 10461 | 2007-03-12 |
1154471993 | Hilary Hertan | Internal Medicine | 600 East 233rd St., Olmmc, Dept. of Gi, Bronx, NY 10466 | 2007-01-12 |
1215005152 | Sulaiman Azeez | Internal Medicine | Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451-5504 | 2006-11-30 |
1588734883 | Meir Salama | Internal Medicine | 3584 Jerome Avenue, Bronx, NY 10467 | 2006-11-08 |
1184714925 | Douglas M Simon | Internal Medicine | Jacobi Hosp. Endoscopy Unit, 1400 Pelham Parkway South, Bronx, NY 10461 | 2006-10-13 |
1770674293 | Trikante Nalini Rajapaksa | Internal Medicine | 3117 Kingsbridge Ave, Bronx, NY 10463-3943 | 2006-09-28 |
1306943139 | Nancy C Manzione | Internal Medicine | Hutchinson Metro Center, 1200 Waters Place Ste. M103, Bronx, NY 10461 | 2006-09-20 |
1912913542 | Stephen B Bharucha | Internal Medicine | 1842 Williamsbridge Rd, Bronx, NY 10461-6206 | 2006-08-01 |
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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.