MR. JODY FERN GOLDBERG (NPI# 1700977253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700977253 |
| Entity Type | Individual |
| Full Name | MR. JODY FERN GOLDBERG |
| Credential | MD |
| Practice Address |
9037 Parsons Blvd Jamaica NY 11432-6032 |
| Mailing Address |
7901 Broadway Managed Care, D1-01 Elmhurst NY 11373-1329 |
| Practice Telephone | 7183346400 |
| Practice Fax Number | 7183346430 |
| Mailing Telephone | 7183341921 |
| Mailing Fax Number | 7183343432 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
161405 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00246075 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649816836 | Jody Goldberg | Physical Therapist | 8317 Grand Messina Cir, Boynton Beach, FL 33472-7106 | 2019-11-21 |
| Street Address |
9037 PARSONS BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-6032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962459057 | City of New York Office of Payroll Administration | Clinic/Center | 9037 Parsons Blvd, Nycdohmh Jamaica Dhc, Jamaica, NY 11432-6032 | 2006-05-27 |
| 1336447721 | Tamara Louise Narine | Internal Medicine | 9037 Parsons Blvd, Jamaica, NY 11432-6032 | 2011-03-09 |
| 1114238698 | Qurat-ul-ain Syedain | Internal Medicine | 9037 Parsons Blvd, Jamaica, NY 11432-6032 | 2010-06-29 |
| 1417049370 | Chander Kiran | Pediatrics | 9037 Parsons Blvd, Jamaica, NY 11432-6032 | 2006-09-29 |
| 1093812034 | Wilfrid Florvil | Pediatrics | 9037 Parsons Blvd, Jamaica, NY 11432-6032 | 2006-09-20 |
| 1821195793 | Renee Ricafrente Grageda | Pediatrics | 9037 Parsons Blvd, Jamaica, NY 11432-6032 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992057392 | Dr.afser Tasneem Medicine Pllc | Pediatrics | 16833 Hillside Ave, Jamaica, NY 11432-4440 | 2012-10-09 |
| 1568778249 | Getwell Medical P.c | Pediatrics | 17227 Highland Ave, Suit 1 A & B, Jamaica, NY 11432-2800 | 2010-08-19 |
| 1164508289 | Daljeet Singh | Pediatrics | 8781 169th St, Jamaica, NY 11432-4438 | 2006-10-31 |
| 1386740371 | Islande Prosper Beaulieu | Pediatrics | 8268 164th St, Jamaica, NY 11432-1121 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438039 | Joanna Catherine Cross | Pediatrics | 6049 Transit Rd Ste 101, East Amherst, NY 14051-1803 | 2020-02-06 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1013352392 | Pediatric Associates of Plainview | Pediatrics | 400 S Oyster Bay Rd Ste 207, Hicksville, NY 11801-3500 | 2013-05-01 |
| 1174876650 | Theodore Fink | Pediatrics | 1 Rudolph Dr, Apt. 1s, Carle Place, NY 11514-1095 | 2012-10-20 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1386915544 | Marvin Lieber | Pediatrics | 58 Sycamore Cir, Stony Brook, NY 11790-3147 | 2012-01-19 |
| 1508134578 | Hicksville Pediatrics PC | Pediatrics | 535 S Broadway, Suite 1, Hicksville, NY 11801-5029 | 2011-12-06 |
| 1245523513 | Khalida Itriyeva | Pediatrics | 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042 | 2011-05-19 |
| 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.