EILEEN LEVIN GOLDBERG (NPI# 1386758621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386758621 |
| Entity Type | Individual |
| Full Name | EILEEN LEVIN GOLDBERG |
| Credential | APRN, GNP-BC |
| Practice Address |
455 Pennsylvania Ave Ste 105 Fort Washington PA 19034-3404 |
| Practice Telephone | (215) 793-4546 |
| Practice Fax Number | 2157939007 |
| Mailing Telephone | (215) 793-4546 |
| Mailing Fax Number | 2157939007 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP017461 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN774259-GNP-B | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
74259 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN246499L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 Morris St, Charleston Area Medical Center, Charleston, WV 25301 | 3043887829 | 3043887864 |
| Street Address |
455 PENNSYLVANIA AVE STE 105 |
| City | FORT WASHINGTON |
| State | PA |
| Zip Code | 19034-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376038810 | Child and Family Focus, Inc. | Community/Behavioral Health | 800 Losh Alsh Avenue, Fort Washington, PA 19034 | 2018-06-27 |
| 1902398688 | Axia Ambulatory Surgery Center | Clinic/Center | 476 Pennsylvania Ave, Suite 202b, Fort Washington, PA 19034 | 2018-05-30 |
| 1336691245 | Elverl Fully | Registered Nurse | 500 Office Center Drive, Suite 400, The Ellison's Nursing Group, LLC, Fort Washington, PA 19034 | 2016-10-26 |
| 1881140028 | Sulvena Pierre | Licensed Practical Nurse | 500 Office Center Drive, Suite 400 Fort Washington, Fort Washington, PA 19034 | 2016-08-28 |
| 1730536145 | Robert Slauch | Dentist | 467 Pennsylvania Ave Ste 201, Fort Washington, PA 19034 | 2016-05-16 |
| 1699145821 | Anna Oldfield | Nurse Practitioner | 735 Susquehanna Rd, Fort Washington, PA 19034 | 2015-09-30 |
| 1598149247 | Victoria T Adepoju | Licensed Practical Nurse | 500 Office Centre Drive Suite 400, Fort Washinghton, PA 19034 | 2015-07-13 |
| 1700210408 | Wendy Lynn Holmes | Physical Therapy Assistant | 735 Susquehanna Rd., Fort Washington Estates, Fort Washington, PA 19034 | 2013-08-29 |
| 1629316567 | The Ellison Nursing Group | Licensed Practical Nurse | 500 Office Center Drive, Suite 400, Fort Washington, PA 19034 | 2013-01-28 |
| 1841540416 | Barbara Portnoy | Dentist | 1244 Ft. Washington Ave., Suite M-1, Fort Washington, PA 19034 | 2012-09-11 |
| Find all providers in zip 19034 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063873 | Latasha Evans | Nurse Practitioner | 7440 Rogers Ave, Upper Darby, PA 19082-2010 | 2020-11-03 |
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1255938163 | Nicole Pfeiffer | Nurse Practitioner | 1932 Washington Ln, Meadowbrook, PA 19046-1138 | 2020-10-04 |
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1629683115 | Meghan Bonner | Nurse Practitioner | 333 N Oxford Valley Rd Ste 102, Fairless Hills, PA 19030-2626 | 2020-09-10 |
| 1245850270 | Lori Michele Shotts | Nurse Practitioner | 110 Holmes St, Vandergrift, PA 15690-1658 | 2020-04-20 |
| 1669008140 | Tracy Shenk | Nurse Practitioner | 60 Versailles Ct, Reading, PA 19605-7019 | 2020-03-17 |
| 1346889524 | Crystal Parker | Nurse Practitioner | 816 Laurel Rd, Lansdowne, PA 19050-3609 | 2020-01-05 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT WASHINGTON |
| Zip Code | 19034 |
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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.