POLINA GOLDENBERG NPI 1720516974

NPI Information

  • NPI: 1720516974
  • Provider Name: POLINA GOLDENBERG
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 NW 9TH CT STE 103
    BOCA RATON, FL
    ZIP 33486
  • Phone: (561) 338-9811

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NPI Details

Polina Goldenberg is an obstetrics and gynecology nurse practitioner in Boca Raton, FL with 8 years of experience. Polina Goldenberg NPI is 1720516974. 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:

1000 NW 9TH CT STE 103
BOCA RATON, FL
ZIP 33486-268
Phone: (561) 338-9811

The NPI 1720516974 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.

The enumeration date for this NPI number is 6/1/2017 and was last updated on 7/12/2024.

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
1363LW0102XNurse PractitionerWomen's HealthAPRN9377813FLORIDANo
2363LX0001XNurse PractitionerObstetrics & GynecologyCNM04179FLORIDAYes

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
11871572032OTHERGROUP NPI

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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