JACOB R GOLDBERG (NPI# 1669670519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669670519 |
| Entity Type | Individual |
| Full Name | JACOB R GOLDBERG |
| Credential | MD |
| Practice Address |
400 E Main St Care Mount Medical PC Mount Kisco NY 10549-3417 |
| Mailing Address |
110 S Bedford Rd Care Mount Medical PC Mount Kisco NY 10549-3446 |
| Practice Telephone | 9142411050 |
| Practice Fax Number | 9142421516 |
| Mailing Telephone | 9142411050 |
| Mailing Fax Number | 9142421516 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2016-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 244749 | NY | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 244749 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE RAILROAD | P00421811 | 01 |
| NY | DME | 0667910001 | 01 |
| NY | 02888411 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235157249 | Jacob Goldberg | Psychiatry & Neurology | 359 Union Ave, Framingham, MA 01702-6340 | 2006-07-17 |
| 1700446382 | Jacob Goldberg | Counselor | 5620 Read Blvd Fl 5, New Orleans, LA 70127-3106 | 2019-06-17 |
| 1043716459 | Jacob Goldberg | Chiropractor | 920 Harrison St Ste A, Batesville, AR 72501-6949 | 2018-04-04 |
| 1487187332 | Jacob L Goldberg | Student in an Organized Health Care Education/Training Program | 525 E 68th St # 99, New York, NY 10065-4870 | 2017-04-07 |
| Street Address |
400 E MAIN ST CARE MOUNT MEDICAL PC |
| City | MOUNT KISCO |
| State | NY |
| Zip Code | 10549-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051309 | Steven M Drexler | Anesthesiology | 400 E Main St, Northern Westchester Hospital, Mount Kisco, NY 10549-3417 | 2005-05-24 |
| 1902419377 | Max Abraham Bader | Anesthesiology | 400 E Main St, Mount Kisco, NY 10549-3477 | 2020-08-26 |
| 1194365304 | Daniel Payne | Nurse Anesthetist, Certified Registered | 400 E Main St, Mount Kisco, NY 10549-3417 | 2020-01-15 |
| 1407407463 | Linda Caffrey | Nurse Practitioner | 400 E Main St, Mount Kisco, NY 10549-3417 | 2019-09-21 |
| 1679133102 | Joann C Stafford | Physical Therapist | 400 E Main St, Mount Kisco, NY 10549-3417 | 2019-06-17 |
| 1568928885 | Vincent Patrick Vitale | Physician Assistant | 400 E Main St, Mount Kisco, NY 10549-3417 | 2019-02-11 |
| 1588120901 | Michael James Teta | Physician Assistant | 400 E Main St, Mount Kisco, NY 10549-3417 | 2019-02-11 |
| 1841789567 | Sarah Elaine Clark | Registered Nurse | 400 E Main St, Mount Kisco, NY 10549 | 2018-05-08 |
| 1124568530 | Daniil Pogosov | Pharmacist | 400 E Main St, Mount Kisco, NY 10549-3417 | 2017-03-03 |
| 1962958124 | Caryn Huneke | Dietitian, Registered | 400 E Main St, Nwh - Attn: Food & Nutrition Department, Mount Kisco, NY 10549-3417 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736618 | The Amerson Center, LLC | Day Training, Developmentally Disabled Services | 13 Timber Rdg, Mount Kisco, NY 10549 | 2018-07-10 |
| 1518496918 | Richard Mark Schnabel | Counselor | 116 Radio Circle, Mt Kisco, NY 10549 | 2017-06-08 |
| 1568997088 | Jodi Baretz | Social Worker | 4 Smith Ave, The Center for Health and Healing, Mt Kisco, NY 10549 | 2017-04-21 |
| 1598205205 | Tracey A Blum | Nurse Practitioner | 110 S. Bedford Road, Caremount Medical PC, Mt Kisco, NY 10549 | 2017-02-28 |
| 1083153936 | Marissa L Schwartz | Dentist | 359 E Main St Ste 2f, Mount Kisco, NY 10549 | 2017-02-13 |
| 1700249299 | Patricia Harte | Specialist | 15 Caren Court, Mount Kisco, NY 10549 | 2016-04-01 |
| 1154663458 | Nicola Ann Quatrano | Dermatology | 185 Kisco Ave Ste 300, Mount Kisco, NY 10549 | 2013-03-25 |
| 1053671503 | Harvey Joel Rosenberg | Internal Medicine | Caremount Medical, P.C., 90 South Bedford Road, Mount Kisco, NY 10549 | 2012-05-17 |
| 1427320597 | Raymond Koloski | Pediatrics | 200 Woodcrest Lane, Apt 226, Mt. Kisco, NY 10549 | 2012-02-03 |
| 1114232733 | Bedford Central School District | Local Education Agency (LEA) | 47 West Hyatt Avenue, Mount Kisco, NY 10549 | 2010-08-09 |
| Find all providers in zip 10549 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679935365 | Travis W Halbert | Hospitalist | 400 E Main St, Mount Kisco, NY 10549-3417 | 2016-03-22 |
| 1598923633 | Northern Westchester Hospital Assoc | Hospitalist | 400 E Main St, Pediatrics, Mount Kisco, NY 10549-3417 | 2008-05-27 |
| 1497795587 | Menachem Schechter | Hospitalist | Mount Kisco Medical Group PC, 400 East Main Street, Mount Kisco, NY 10549 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274454 | Nisar Alvi M.d. P.C. | Hospitalist | 2613 Pinebluff Dr, Vestal, NY 13850-2909 | 2017-02-20 |
| 1194172171 | Milna Rose Rufin | Hospitalist | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2016-05-19 |
| 1831553809 | Fatima Chaudhri | Hospitalist | 1st Avenue At E16th Street, New York, NY 10003-2925 | 2016-04-06 |
| 1174986228 | Niyati Ajit Bhagwat | Hospitalist | Nyu Winthrop Hospital, 259 1st Street, Mineola, NY 11501 | 2016-04-05 |
| 1902269806 | Lindsey Fox | Hospitalist | 1111 Amsterdam Ave Dept Of, New York, NY 10025-1716 | 2016-03-30 |
| 1538520440 | Myung Sun Choi | Hospitalist | 1425 Portland Ave Ste 204, Rochester, NY 14621-3011 | 2016-03-19 |
| 1992177711 | Saroj Sapkota | Hospitalist | 11111 Liberty Ave, South Richmond Hill, NY 11419-1811 | 2015-10-21 |
| 1255715116 | Shorabh Sharma | Hospitalist | 4422 Third Ave Mills Building, Department of Internal Medicine, Bronx, NY 10457 | 2015-07-10 |
| 1689051740 | John Richard Shultz | Hospitalist | 43 New Scotland Ave # Mc23, Albany, NY 12208 | 2015-04-28 |
| 1659787653 | Symphony Medical PC | Hospitalist | 27 S Washington Ave, Dobbs Ferry, NY 10522-1806 | 2014-07-10 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT KISCO |
| Zip Code | 10549 |
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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.