Physician Compare National (NPI:1043248297)

HEALTHCARE PROVIDER: DANIEL J GOLDBERG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1043248297
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840260972
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040727001412
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOLDBERG
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CARDIAC ASSOCIATES, P.C.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8022005834
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	18
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	15225 SHADY GROVE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	ROCKVILLE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	208503278
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3019242018
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210057
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	210065
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOLY CROSS GERMANTOWN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y