DR. JAY D. GOLDBERG


Address: 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127
Phone: 2159555000

DR. JAY D. GOLDBERG (NPI# 1780603464) 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) 1780603464
Entity Type Individual
Full Name DR. JAY D. GOLDBERG
Credential M.D.
Practice Address 834 Chestnut St
Suite 300
Philadelphia
PA 19107-5127
Mailing Address 101 E Olney Ave
Suite 400
Philadelphia
PA 19120-2421
Practice Telephone 2159555000
Practice Fax Number 2159231089
Mailing Telephone 2154561825
Mailing Fax Number 2152543289
Enumeration Date 2006-07-19
Last Update Date 2018-11-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology MD056373L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 7305800 05
PA 001544419 05

Other Providers JAY GOLDBERG

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
1477654291 Jay Stephen Goldberg General Practice 430 Claremont Ct, Suite 213, Colonial Heights, VA 23834-1770 2006-09-26
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
1467492082 Jay M Goldberg Specialist 8920 Wilshire Blvd #511, Beverly Hills, CA 90211-2009 2006-06-08

Office Location

Street Address 834 CHESTNUT ST
SUITE 300
City PHILADELPHIA
State PA
Zip Code 19107-5127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710948500 Niles Nicolo Dentist 834 Chestnut St, Suite 415, Philadelphia, PA 19107-5127 2006-03-31
1215471495 Alisa Hayes Speech-Language Pathologist 834 Chestnut St, Ph 206, Philadelphia, PA 19107-5127 2016-12-07
1659735181 Brent Monseur Student in an Organized Health Care Education/Training Program 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 2016-04-11
1265896740 Ryan Edward Austin Student in an Organized Health Care Education/Training Program 834 Chestnut St, Suite G-114, Philadelphia, PA 19107-5127 2016-04-11
1750744017 Cheryl Lynn Godcharles Obstetrics & Gynecology 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 2016-04-03
1518327063 Nicole Clement Bieler Nurse Practitioner 834 Chestnut St, #306, Philadelphia, PA 19107-5127 2016-02-25
1487034179 Ariana Mason Dentist 834 Chestnut St, Suite 415, Philadelphia, PA 19107-5127 2015-06-08
1508243379 Juliana Guarente Student in an Organized Health Care Education/Training Program 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 2015-04-30
1750768792 Laura Felder Obstetrics & Gynecology 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 2015-04-28
1639566888 Shelly Sood Obstetrics & Gynecology 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 2015-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
Find all providers in zip 19107

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962027557 Tal Avigal Lee Obstetrics & Gynecology 1109 Green St Apt 11, Philadelphia, PA 19123-3326 2020-06-10
1396303962 Medical Foundation Inc Obstetrics & Gynecology Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 2019-05-30
1477011401 Diane D. Harrison Obstetrics & Gynecology 236 Philip Pl, Philadelphia, PA 19106-3902 2019-03-08
1720570963 Tiffany Fernandes Gee Obstetrics & Gynecology 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 2018-06-04
1881114742 Andrea Jasmine Leung Obstetrics & Gynecology 5501 Old York Rd # 1-1616, Philadelphia, PA 19141-3018 2017-06-22
1548798093 Dimitrios Nasioudis Obstetrics & Gynecology 3400 Spruce Street, 1 West Gates, Hellen O. Dickens Center for Women's Health, Philadelphia, PA 19104-3123 2017-05-30
1811449697 West Cayuga Medicine PC Obstetrics & Gynecology 257 W Cayuga St, Philadelphia, PA 19140-2439 2016-10-27
1447631536 Clinton Veselis Obstetrics & Gynecology 3401 N Broad St Dept Of, Philadelphia, PA 19140 2015-06-15
1811378979 Nishanth Sidduri Obstetrics & Gynecology 400 W Allegheny Ave Ste 5b, Philadelphia, PA 19133-3614 2015-06-15
1396158820 Elizabeth Carey Banks Obstetrics & Gynecology 800 Walnut St Fl 12, Philadelphia, PA 19107-5176 2014-06-02
Find all providers in PHILADELPHIA

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City PHILADELPHIA
Zip Code 19107

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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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