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DR. JARED BRIAN GOLDBERG M.D. NPI 1235356254


NPI Information

NPI: 1235356254
Provider Name: DR. JARED BRIAN GOLDBERG, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC

PECOS Registration: Yes

Address:
1020 SANSOM ST
1651 THOMPSON BUILDING
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-6840
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DR. Jared Brian Goldberg, M.D. is an emergency medicine in Philadelphia, PA with 19 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Jared Brian Goldberg, M.D. NPI is 1235356254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:2005

The provider's business location address is:

1020 SANSOM ST
1651 THOMPSON BUILDING
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-6840

The NPI 1235356254 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 enumeration date for this NPI number is 4/19/2007 and was last updated on 10/8/2021.


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
1207P00000XEmergency MedicineMT186200PENNSYLVANIAYes

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: 11/14/2023

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.