AMY GOLDBERG MD NPI 1417994542

NPI Information

  • NPI: 1417994542
  • Provider Name: AMY GOLDBERG, MD
  • Classification: Pediatrics - 2080C0008X
  • Specialization: Child Abuse Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 593 EDDY ST
    PROVIDENCE, RI
    ZIP 02903
  • Phone: (401) 444-3996

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NPI Details

Amy Goldberg, MD is a child abuse pediatrics pediatrics in Providence, RI. The provider is a Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases. Amy Goldberg, MD NPI is 1417994542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

593 EDDY ST
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-3996
Fax: (401) 444-3804

The NPI 1417994542 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 5/31/2006 and was last updated on 4/26/2016.

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
1208000000XPediatrics10624RHODE ISLANDNo
22080C0008XPediatricsChild Abuse PediatricsMD10624RHODE ISLANDYes

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 Other Provider Identifier Issuer
1007009202MEDICARE PINRHODE ISLAND
27009202MEDICAIDRHODE ISLAND
3H47747MEDICARE UPINRHODE ISLAND

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: 3/30/2025

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