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JUDITH CAROL GOLDBERG-BERMAN M.D. PH.D NPI 1912986571


NPI Information

NPI: 1912986571
Provider Name: JUDITH CAROL GOLDBERG-BERMAN, M.D., PH.D
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 07D0930086

Address:
56 LAFAYETTE PL
SUITE A
GREENWICH, CT
ZIP 06830
Phone: (203) 622-9160
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Judith Carol Goldberg-berman, M.D., PH.D is a specialist in Greenwich, CT with 37 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Judith Carol Goldberg-berman, M.D., PH.D NPI is 1912986571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduation Year:1987

The provider's business location address is:

56 LAFAYETTE PL
SUITE A
GREENWICH, CT
ZIP 06830-430
Phone: (203) 622-9160
Fax: (203) 661-3887

The NPI 1912986571 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 07D0930086 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 2/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist033-952CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130-0602957OTHERCONNECTICUTEIN
21912986571OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.