Physician Compare National (NPI:1831272269)

HEALTHCARE PROVIDER: NEIL S GOLDBERG MD

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

Individual Professional Information
NPI	1831272269
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012196389
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110119001091
	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	NEIL
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	77 PONDFIELD RD
	Group Practice or individual's line 1 address
City	BRONXVILLE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	107083809
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9143374499
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y