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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
041527 | NY | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01501266 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295189256 | Jeffrey Goldberg | Occupational Therapist | 3475 Greystone Ave, Apt 6a, Bronx, NY 10463-2238 | 2016-04-15 |
1790946531 | Jeffrey Alan Goldberg | Psychiatry & Neurology | 8425 E 12 Mile Rd, Suite#112, Warren, MI 48093-2738 | 2008-06-24 |
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 |
Street Address |
175 JERICHO TPKE |
City | SYOSSET |
State | NY |
Zip Code | 11791-4532 |
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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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 |
Find all providers in zip 11791 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
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 |
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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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.