DR. NORMAN C GOLDBERG (NPI# 1063517407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063517407 |
| Entity Type | Individual |
| Full Name | DR. NORMAN C GOLDBERG |
| Credential | MD |
| Practice Address |
62 Brown St Ste 304c Haverhill MA 01830-6790 |
| Mailing Address |
280 Merrimack St Ste 311 Lawrence MA 01843-1779 |
| Practice Telephone | 9786915690 |
| Practice Fax Number | 9786915693 |
| Mailing Telephone | 9786915690 |
| Mailing Fax Number | 9786915693 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2017-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 6241 | NH | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 45142 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | AETNA | 93611 | 01 |
| MA | HARVARD PILGRIM | 4305 | 01 |
| NH | ANTHEM NEW HAMPSHIRE | 0105722YONH01 | 01 |
| MA | RAILROAD MEDICARE | 070002676 | 01 |
| MA | TUFTS | 045142 | 01 |
| MA | BCBS MASSACHUSETTS | D11117 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Merrimack Medical Center @ Merrimack Valley Hospital, 62 Brown Street - Suite 301, Haverhill, MA 01830 | 9783746770 | 9783741746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225019300 | Norman J Goldberg | Internal Medicine | Va Medical Center 3350 La Jolla Village Dr, San Diego, CA 92161-0001 | 2005-11-07 |
| 1083699862 | Norman Leon Goldberg | Dentist | 290 Baker Ave, Concord, MA 01742-2189 | 2005-12-14 |
| 1508852211 | Norman Goldberg | Pediatrics | 8750 Sw 144th St, Suite #100, Village of Palmetto Bay, FL 33176-7296 | 2005-09-27 |
| Street Address |
62 BROWN ST STE 304C |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01830-6790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508277468 | Jessica Lynn Boulavsky | Dermatology | 62 Brown St Ste 304c, Haverhill, MA 01830-6790 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171753 | Saint Gemma Health and Wellness Center Inc. | Clinic/Center | C/o Mary Fallavollita, 375 Main St., Haverhill, MA 01830 | 2019-12-16 |
| 1689143968 | Margaret O'day | Social Worker | 621 Main Street, Haverhill, MA 01830 | 2018-11-16 |
| 1396213633 | Michelle Flanagan | Nurse Practitioner | 600 Primrose Street, Haverhill, MA 01830 | 2018-11-05 |
| 1992281265 | Megan Lee Cahill | Social Worker | 150 Water St., Haverhill, MA 01830 | 2018-07-19 |
| 1588116602 | Ronald Charles Jordan Jr. | Counselor | 6 Concordia Drive, Haverhill, MA 01830 | 2016-10-25 |
| 1902269772 | Alta Marie Tusini | Pediatrics | 600 Primrose St Ste 200, Haverhill, MA 01830 | 2016-03-30 |
| 1447611199 | Joan Hatem-roy | Social Worker | 280 Merrimack Street, Suite 400, Lawrence, MA 01830 | 2016-03-09 |
| 1326431818 | Divine Home Care | Home Health | 18 Kenoza St, Haverhill, MA 01830 | 2015-03-09 |
| 1821429861 | Emmaus | Case Manager/Care Coordinator | 127 How St., Haverhill, MA 01830 | 2013-12-02 |
| 1225390362 | Larry Medolo | Homeopath | 606 Broadway Ave, Haverhill, MA 01830 | 2012-06-14 |
| Find all providers in zip 01830 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932205382 | Nils Hakan Thyresson | Dermatology | Merrimack Medical Center @ Merrimack Valley Hospital, 62 Brown Street, Suite 301, Haverhill, MA 01810 | 2006-09-15 |
| 1508277468 | Jessica Lynn Boulavsky | Dermatology | 62 Brown St Ste 304c, Haverhill, MA 01830-6790 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090445 | Peter T Demos Md | Dermatology | 125 Liberty St Ste 206, Springfield, MA 01103-1109 | 2020-07-08 |
| 1376180760 | Integrated Dermatology of Needham, LLC | Dermatology | 60 Dedham Ave Ste 206, Needham, MA 02492-3061 | 2019-12-04 |
| 1164069647 | Integrated Dermatology of Mashton, LLC | Dermatology | 800 Falmouth Rd Ste 101, Mashpee, MA 02649-3303 | 2019-12-04 |
| 1972164937 | Kuchnir Realty, LLC | Dermatology | 11 Apex Dr Ste 103a, Marlborough, MA 01752-1860 | 2019-06-21 |
| 1265098032 | Mark Amster Derm | Dermatology | 800 Falmouth Rd Ste 101b, Mashpee, MA 02649-3352 | 2019-05-16 |
| 1831684224 | Chotinij Lertphanichkul | Dermatology | 850 Boylston St Ste 437, Chestnut Hill, MA 02467-2405 | 2018-06-27 |
| 1023515277 | Vibrant Dermatology Pllc | Dermatology | 588 Providence Hwy, Dedham, MA 02026-6804 | 2018-04-12 |
| 1437665908 | Kuchnir Dermatology, PC | Dermatology | 20 Hope Ave Ste 105, Waltham, MA 02453-2717 | 2017-12-20 |
| 1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
| 1679098750 | Avant-garde Medical LLC | Dermatology | 62 Pleasant St, Natick, MA 01760-5634 | 2017-08-09 |
| Find all providers with the same taxonomy | ||||
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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.