DR. JEFFREY ALAN GOLDBERG


Address: 175 Jericho Tpke, Syosset, NY 11791-4532
Phone: 5169212880

DR. JEFFREY ALAN GOLDBERG (NPI# 1962484360) 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) 1962484360
Entity Type Individual
Full Name DR. JEFFREY ALAN GOLDBERG
Credential D.D.S.
Practice Address 175 Jericho Tpke
Syosset
NY 11791-4532
Practice Telephone 5169212880
Practice Fax Number 5169212889
Mailing Telephone 5169212880
Mailing Fax Number 5169212889
Enumeration Date 2005-11-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
041527 NY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01501266 05

Other Providers JEFFREY GOLDBERG

NPI Name Taxonomy Address Enumeration
1295189256 Jeffrey Goldberg Occupational Therapist 3475 Greystone Ave, Apt 6a, Bronx, NY 10463-2238 2016-04-15
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1336229178 Jeffrey E Goldberg Otolaryngology 4245 Johns Creek Pkwy., Suite D, Suwanee, GA 30024 2006-10-16
1346856465 Jeffrey M Goldberg Social Worker 3355 Saint Johns Ln Ste J, Ellicott City, MD 21042-2600 2020-09-23
1720355605 Jeffrey Edward Goldberg Pharmacist 1525 W Park Ave, Anaconda, MT 59711-1829 2011-11-21
1659690469 Jeffrey Harris Goldberg Orthopaedic Surgery 210 E Derenne Ave, Savannah, GA 31405-6736 2010-05-19
1003048455 Jeffrey Alan Goldberg Dentist 315 N Elm St, High Point, NC 27262-4936 2009-08-19
1417158114 Jeffrey Louis Goldberg Ophthalmology 9415 Campus Point Dr, Shiley Eye Center, La Jolla, CA 92093-0946 2007-05-30
1669542767 Jeffrey Ward Goldberg Technician/Technologist 1033 Green Acres Mall, Valley Stream, NY 11581-1531 2006-11-08
1902914435 Jeffrey Goldberg Psychiatry & Neurology 5025 Fort Hamilton Pkwy, Brooklyn, NY 11219-3325 2006-08-25

Office Location

Street Address 175 JERICHO TPKE
City SYOSSET
State NY
Zip Code 11791-4532

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669472130 Howard Heimowitz Radiology 175 Jericho Tpke, Suite 120, Syosset, NY 11791-4532 2005-07-27
1497247530 50 Oceana Pharmacy Corp. Durable Medical Equipment & Medical Supplies 175 Jericho Tpke, West Lobby Suite, Syosset, NY 11791-4532 2018-06-05
1467823443 Medical Office of Fawzy Wasfy Salama Pllc Psychiatry & Neurology 175 Jericho Tpke, Suite 411, Syosset, NY 11791-4532 2015-10-15
1164806758 Dr Greg Davies & Dr Sharone Stern Podiatrist 175 Jericho Tpke, Suite 300, Syosset, NY 11791-4532 2015-07-14
1619367844 Rehabilitation Associate of Li Physical Medicine Pllc Physical Medicine & Rehabilitation 175 Jericho Tpke, Syosset, NY 11791-4532 2015-01-26
1265821953 Positive Change Psychiatry Pllc Psychiatry & Neurology 175 Jericho Tpke, Suite 301, Syosset, NY 11791-4532 2015-01-18
1710393459 Nicole R Esposito Speech-Language Pathologist 175 Jericho Tpke, Suite 103, Syosset, NY 11791-4546 2014-07-02
1194135483 Diabetes and Endocrine Care of Long Island Pllc Internal Medicine 175 Jericho Tpke, Suite 300, Syosset, NY 11791-4532 2014-05-07
1679918957 Elliott Jay Dombroff Dentist 175 Jericho Tpke, Suite 307a, Syosset, NY 11791-4532 2013-05-01
1588008346 Celestino Marques Dossantos Dentist 175 Jericho Tpke, Suite 307a, Syosset, NY 11791-4532 2013-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508491879 Marjorie Stein, M.d., PC Internal Medicine 30 Coach Lane, Muttontown, NY 11791 2020-03-07
1770118168 Naomi Krikheli Occupational Therapy Assistant Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 2020-03-06
1912482266 Angela Viviana Depompeis Student in an Organized Health Care Education/Training Program 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 2018-10-02
1063997104 Stephen William Tozer Specialist/Technologist 70 South Woods Road, Syosset, NY 11791 2018-09-25
1295214682 Cathy Lynn Singer Nurse Practitioner 575 Underhill Blvd Ste 210, Syosset, NY 11791 2018-08-07
1831628296 Amanticia Joseph Case Manager/Care Coordinator 40 Oak Drive, Syosset, NY 11791 2017-06-08
1528500758 James F Creamer Chiropractor 15 Beatrice Ave, Syosset, NY 11791 2016-11-04
1053868190 Diana Eileen Marlow Registered Nurse 1597 Laurel Hollow Road, Syosset, NY 11791 2016-09-07
1346796695 Emily Bregman Specialist 33 Picardy Lane, Laurel Hollow, NY 11791 2016-08-28
1962811364 Leslie Juarez Registered Nurse 7 Market Drive, Syosset, NY 11791 2014-08-11
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053921643 Upper West Side Oral & Maxillofacial Surgery Dentist 140 W 69th St Ph 1g, New York, NY 10023-5173 2020-08-07
1467092965 Nyc Implant and Oral Surgery PC Dentist 30 E 60th St Ste 907, New York, NY 10022-1058 2020-01-13
1235777566 Asnis Dental Pllc Dentist 800 Woodbury Rd Ste C, Woodbury, NY 11797-2503 2019-12-17
1700420429 Chavkin Oral and Maxillofacial Surgery LLC Dentist 414 Jericho Tpke Ste 2, New Hyde Park, NY 11040-4510 2019-11-06
1730737545 Southwoods Boulevard Dental, P.C. Dentist 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526 2019-08-27
1750947792 Eduard Munarov Dds PC Dentist 449 N State Rd Ste 102, Briarcliff Manor, NY 10510-1478 2019-05-15
1598227530 Asnis Dental Pllc Dentist 250 Patchogue Yaphank Rd Ste 10, East Patchogue, NY 11772-4862 2019-04-01
1720545387 Asnis Dental, Pllc Dentist 260 Middle Country Rd Ste 12, Selden, NY 11784-2570 2019-03-01
1205344819 Ray Cheng Dds Dentist 217 Park Row Ste 4b, New York, NY 10038-1101 2018-01-17
1871006064 Ny Oral and Maxillofacial Surgeon, PC Dentist 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 2017-11-09
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Competitor

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City SYOSSET
Zip Code 11791

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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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