PABLO GOLDBERG MD - NPI 1083604680 - Psychiatry & Neurology in New York, NY

Q: What is Pablo Goldberg's NPI number?

The NPI number for Pablo Goldberg is 1083604680. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Q: What is Pablo Goldberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Pablo Goldberg enrolled in Medicare?

No. Pablo Goldberg has opted out of Medicare through March 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Pablo Goldberg was last updated on January 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Pablo Goldberg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PABLO GOLDBERG MD (NPI 1083604680) is an individual psychiatry provider in New York, New York, licensed in New York (253209) and active in the NPI registry since October 2005. He has opted out of Medicare through March 28, 2028.

NPPES Registry Identity

NPI1083604680

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NamePABLO GOLDBERGCredential: MD

Location Address1051 RIVERSIDE DRIVE, UNIT 74 2ND FLOORNew York, NY 10032

Mailing Address1051 Riverside Drive, Unit 74 2nd FloorNew York, NY 10032 · (646) 499-1456 · Fax (888) 757-4699

Phone(646) 774-6318

Fax(888) 757-4699

Sole ProprietorNo

Enumeration DateOctober 25, 2005

Last NPPES UpdateJanuary 30, 2015

✔ NPI 1083604680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NY · 253209✔ Licensed in CT · 043229

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1051 RIVERSIDE DRIVE, New York, NY 10032

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Other Identifiers 3

Medicaid1432294CT

Medicare PIN260004483CT

Medicare UPINI47034CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Pablo Goldberg Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 28, 2024 through March 28, 2028.

Opt-Out Effective DateMarch 28, 2024

Opt-Out In Effect ThroughMarch 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAWRENCE S, KEGELES M.D.