DR. MYRON B. GOLDBERG, D.D.S. (NPI# 1134432909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134432909 |
| Entity Type | Organization |
| Organization Name | DR. MYRON B. GOLDBERG, D.D.S. |
| Practice Address |
1528 Walnut St Suite 1725 Philadelphia PA 19102-3604 |
| Practice Telephone | 2157320505 |
| Practice Fax Number | 2157328744 |
| Mailing Telephone | 2157320505 |
| Mailing Fax Number | 2157328744 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2015-03-20 |
| Authorized Official Name | DR. MYRON B GOLDBERG (DENTIST) |
| Authorized Official Telephone | 2157320505 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS020079-L | PA | Dental Providers |
| Street Address |
1528 WALNUT ST SUITE 1725 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605013 | Bridget Catherine Littley | Counselor | 1528 Walnut St, Philadelphia, PA 19102-3604 | 2019-08-20 |
| 1639603715 | Rachel Kabasakalian-mckay | Psychologist | 1528 Walnut St, Suite 302, Philadelphia, PA 19102-3604 | 2017-04-17 |
| 1720448186 | Kristen Jones | Physician Assistant | 1528 Walnut St, Suite 950, Philadelphia, PA 19102-3604 | 2016-02-29 |
| 1073922621 | Norma Kisaiti | Counselor | 1528 Walnut St, Philadelphia, PA 19102-3604 | 2014-08-07 |
| 1104128818 | Carole S Levin | Optometrist | 1528 Walnut St, Pearle Vision, Philadelphia, PA 19102-3604 | 2010-12-01 |
| 1215160957 | Gino C Curcuruto | Chiropractor | 1528 Walnut St, Philadelphia, PA 19102 | 2009-08-28 |
| 1518192004 | Steven Matthew Stoll | Emergency Medicine | 1528 Walnut St, Suite 950, Philadelphia, PA 19102-3604 | 2009-05-27 |
| 1528207776 | Lucinda Mitchell | Counselor | 1528 Walnut St, Suite1706, Philadelphia, PA 19102-3604 | 2009-02-11 |
| 1639330087 | Autism Living and Working, Inc. | Case Management | 1528 Walnut St, Suite 815, Philadelphia, PA 19102-3604 | 2008-06-18 |
| 1023294402 | John J. Kelley Assoc., Ltd | Technician/Technologist | 1528 Walnut St, Suite 1801, Philadelphia, PA 19102-3604 | 2008-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
| 1164040424 | Aledy Miguelina Moreta | Dentist | 1813 Vineyard St, Philadelphia, PA 19130-2122 | 2020-07-13 |
| 1033737473 | David Agia | Dentist | 1318 Franklin Mills Cir # 807, Philadelphia, PA 19154-3130 | 2020-07-13 |
| 1710504113 | Hanna Lee | Dentist | 1616 S Rosewood St, Philadelphia, PA 19145-1519 | 2020-07-01 |
| 1982221636 | Aldo Profka | Dentist | 8001 Roosevelt Blvd Ste 304, Philadelphia, PA 19152-3039 | 2020-06-29 |
| 1558985317 | Oxford Dental LLC | Dentist | 5233 Oxford Ave, Philadelphia, PA 19124-1803 | 2020-06-07 |
| 1487277935 | Issam Ghaben | Dentist | 4210 Sansom St, Philadelphia, PA 19104-3589 | 2020-05-19 |
| 1508490509 | Mount Airy Family Dental LLC | Dentist | 1600 Ivy Hill Rd, Philadelphia, PA 19150-1008 | 2020-02-27 |
| 1801436506 | Special Outreach Services, PC | Dentist | 2301 E Allegheny Ave Ste 202, Philadelphia, PA 19134-4427 | 2020-01-10 |
| 1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.