STEVEN A GOLDENBERG (NPI# 1851495931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851495931 |
| Entity Type | Individual |
| Full Name | STEVEN A GOLDENBERG |
| Credential | MD |
| Practice Address |
263 Farmington Avenue Farmington CT 06030 |
| Mailing Address |
263 Farmington Avenue Farmington CT 06030-8082 |
| Practice Telephone | 8606793238 |
| Practice Fax Number | 8606790161 |
| Mailing Telephone | 8606793238 |
| Mailing Fax Number | 8606790161 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
025355 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001253558 | 05 | |
| CT | CONNECTICARE | 050425 | 01 |
| CT | BLUE CROSS BLUE SHIELD | 010025355CT01 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 580 Cottage Grove Rd, Suite 201, Bloomfield, CT 060023088 | 8602425580 | 8602439701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649293457 | Steven Goldenberg | Dentist | 1044 Byberry Rd, Bensalem, PA 19020-3922 | 2006-07-25 |
| 1558303586 | Steven Perry Goldenberg | Internal Medicine | 2001 Marcus Ave, Suite N18, Lake Success, NY 11042-1011 | 2006-06-12 |
| 1689621955 | Steven Emil Goldenberg | Optometrist | 48 Harrison Street, Johnson City, NY 13790 | 2006-05-30 |
| Street Address |
263 FARMINGTON AVENUE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466561 | State of Connecticut | Clinic/Center | 263 Farmington Avenue, Farmington, CT 06030-5355 | 2005-09-07 |
| 1619584026 | Sylvia Polanco | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-8203 | 2020-09-29 |
| 1154930956 | Lindsay Allison Petriello | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030 | 2020-07-28 |
| 1891304663 | Kara Dazkevich | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-0001 | 2020-07-28 |
| 1093324873 | Kaitlin Jeanne O'connor | Nurse Practitioner | 263 Farmington Avenue, Icu, University Tower, 1st Floor, Mail Code: 1131, Farmington, CT 06030 | 2020-07-28 |
| 1457975070 | Shriya Gupta | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Uconn Health - Outpatient Pavilion, Farmington, CT 06030-8031 | 2020-05-29 |
| 1114540150 | Carolina Mendes Pessoa | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, 2 West Uconn Clinic, Internal Medicine Associates, Ou, Farmington, CT 06032 | 2020-05-26 |
| 1457971293 | Christopher Dalton Lemoine | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-8073 | 2020-04-22 |
| 1871112953 | Cory Hewitt | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-4037 | 2020-04-09 |
| 1154940310 | Jeffrey Henry | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-1930 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275775058 | Donald E. Gullickson IIi | Internal Medicine | Uconn Health Center 263 Farmington Ave, Farmington, CT 06030-0001 | 2009-03-25 |
| 1508978511 | Francisco Colon | Internal Medicine | 940 W Pinon St, Farmington, NM 87401 | 2006-08-31 |
| 1508832429 | Eliezer M St Laurent | Internal Medicine | 23607 Farmington Rd, Farmington, MI 48336-3109 | 2006-02-28 |
| 1275536088 | Armando Lopez De Victoria | Internal Medicine | 4801 N Butler Ave, Suite 13102, Farmington, NM 87401-6002 | 2005-05-24 |
| 1639662901 | San Juan Regional Medical Center Inc | Internal Medicine | 940 W Pinon St, Farmington, NM 87401-5905 | 2018-06-12 |
| 1083977581 | Lucy Ann Salieb Shamberg | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-1845 | 2012-06-19 |
| 1184985475 | Advanced Gastroenterology Associates | Internal Medicine | 4801 N Butler Ave, Suite 13102, Farmington, NM 87401-6002 | 2012-06-03 |
| 1043542459 | Eliezer Monge, M.d., P.C. | Internal Medicine | 23607 Farmington Rd, Farmington, MI 48336-3109 | 2010-02-10 |
| 1487896486 | Houman Rezaizadeh | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2009-04-06 |
| 1417199316 | Neil D Parikh | Internal Medicine | 21 South Rd, Suite 100, Farmington, CT 06032-2482 | 2009-03-24 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
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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.