Physician Compare National (NPI:1912986571)

HEALTHCARE PROVIDER: JUDITH CAROL GOLDBERG-BERMAN M.D., PH.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	1912986571
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486827334
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111109000506
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOLDBERG-BERMAN
	Individual professional last name
Provider First Name	JUDITH
	Individual professional first name
Provider Middle Name	C.
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	159 W PUTNAM AVE
	Group Practice or individual's line 1 address
City	GREENWICH
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	068305329
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2036229160
	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	070018
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GREENWICH HOSPITAL ASSOCIATION -
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070006
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	STAMFORD HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M