JEFFREY I GOLDBERG DDS PLLC (NPI# 1306313150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306313150 |
| Entity Type | Organization |
| Organization Name | JEFFREY I GOLDBERG DDS PLLC |
| Practice Address |
1655 Elmwood Ave Ste 100 Rochester NY 14620-3426 |
| Mailing Address |
3980 Sheridan Dr Ste 401 Amherst NY 14226-1727 |
| Practice Telephone | 7166362222 |
| Practice Fax Number | 7166362252 |
| Mailing Telephone | 7166362222 |
| Mailing Fax Number | 7166362252 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Authorized Official Name | DR. JEFFREY I GOLDBERG (OWNER) |
| Authorized Official Telephone | 7166362222 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFREY I GOLDBERG DDS PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
1655 ELMWOOD AVE STE 100 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497294326 | Quarry Hill Family Dental, LLC | Clinic/Center | 828 11th Ave Ne, Rochester, MN 55906-4457 | 2017-02-12 |
| 1396199832 | Pdg, Pa | Clinic/Center | 3780 Marketplace Dr Nw Ste 112, Rochester, MN 55901-3225 | 2016-04-21 |
| 1598186645 | Southcoast Community Dental Care | Clinic/Center | 603 New Bedford Rd, Rochester, MA 02770-4125 | 2013-12-16 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1669649166 | East Avenue Dentistry Pllc | Clinic/Center | 1641 East Ave, Rochester, NY 14610-1616 | 2008-05-13 |
| 1942475330 | Minnesota State Colleges and Universities - Rochester Community & Tech | Clinic/Center | 851 30th Ave Se, Rochester, MN 55904-4915 | 2008-04-25 |
| 1730284787 | Groves & Kelley Dds PC | Clinic/Center | 50 Cedarfield Commons, Suite D, Rochester, NY 74612 | 2006-09-14 |
| 1538767876 | Rochester Dental Professionals LLC | Clinic/Center | 723 2nd St Sw, Rochester, MN 55902-2921 | 2020-10-09 |
| 1609496504 | Regional Health Reach Inc. | Clinic/Center | 89 Genesee St Ste 1408, Rochester, NY 14611-3201 | 2020-04-21 |
| 1740814813 | Roxanne Lowenguth Dds,ms,pllc | Clinic/Center | 2109 S Clinton Ave Ste 200, Rochester, NY 14618-2615 | 2020-02-27 |
| Find all providers in ROCHESTER | ||||
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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.