MELVYN GOLDBERG M.D. NPI 1790706588

NPI Information

  • NPI: 1790706588
  • Provider Name: MELVYN GOLDBERG, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 333 COTTMAN AVE
    PHILADELPHIA, PA
    ZIP 19111
  • Phone: (215) 728-6900

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NPI Details

Melvyn Goldberg, M.D. is a specialist in Philadelphia, PA. 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. Melvyn Goldberg, M.D. NPI is 1790706588. 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:

333 COTTMAN AVE
PHILADELPHIA, PA
ZIP 19111-434
Phone: (215) 728-6900
Fax: (215) 214-1023

The enumeration date for this NPI number is 7/21/2006 and was last updated on 7/8/2007.

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
1174400000XSpecialistMD049107LPENNSYLVANIAYes

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
1F54377MEDICARE UPINPENNSYLVANIA

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: 11/21/2025

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