JACOB A GOLDENBERG MD NPI 1215954177

NPI Information

NPI: 1215954177
Provider Name: JACOB A GOLDENBERG, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
801 BROADWAY N
FARGO, ND
ZIP 58102
Phone: (701) 234-2461
Get Directions

Jacob A Goldenberg, MD is a diagnostic radiology radiology in Fargo, ND. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jacob A Goldenberg, MD NPI is 1215954177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

801 BROADWAY N
FARGO, ND
ZIP 58102-641
Phone: (701) 234-2461
Fax: (701) 234-7481

The enumeration date for this NPI number is 7/16/2006 and was last updated on 1/19/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	7788	NORTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	300002379	MEDICARE PIN	MINNESOTA
2	G51123	MEDICARE UPIN
3	N14897	MEDICARE PIN	NORTH DAKOTA
4	10266	MEDICAID	NORTH DAKOTA

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »