Mr. Jody Fern Goldberg
MD | Pediatric Adolescent Medicine | Female
Mr. Jody Fern Goldberg, MD is a Jamaica, New York based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Mr. Jody Fern Goldberg is
9037 Parsons Blvd, Jamaica, New York - 11432-6032. She can be contacted on phone at
718-334-6400 and fax number 718-334-6430.
Mr. Jody Fern Goldberg is a sole proprietor of her business.
NPI number (Unique professional ID) for Mr. Jody Fern Goldberg is
1700977253 which was assigned by NPPES on 28 Sep, 2006 and it was last updated on 18 May, 2015.
Mr. Jody Fern Goldberg license number is
161405 for Pediatrics Adolescent Medicine (2080A0000X) in New York.
Mr. Jody Fern Goldberg 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.
Complete Profile:
Mr. Jody Fern Goldberg basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Mr. Jody Fern Goldberg |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mr. Jody Fern Goldberg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9037 Parsons Blvd
Jamaica, NY, 11432-6032
United States |
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| Phone Number : | 718-334-6400 |
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| Fax Number : | 718-334-6430 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700977253 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Sep, 2006 |
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| Last Updated On : | 18 May, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jody Fern Goldberg are as mentioned. Primary taxonomy code for Mr. Jody Fern Goldberg, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 161405 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Jody Fern Goldberg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00246075 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 7901 Broadway, Managed Care, D1-01
Elmhurst, NY, 11373-1329
United States |
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| Phone Number : | 718-334-1921 |
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| Fax Number : | 718-334-3432 |
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Business Location:
Patients can refer following map for directions to
Mr. Jody Fern Goldberg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.