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MR. MARK GOLDBERG C.P.O
NPI 1114015690
Orthotic Fitter in East Setauket, NY

Active since October 10, 2006
9 TECHNOLOGY DR, EAST SETAUKET, NY 11733(631) 689-6606(631) 941-3525 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark Goldberg C.p.o NPPES

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

MR. MARK GOLDBERG C.P.O (NPI 1114015690) is an individual orthotic fitter provider in East Setauket, New York and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114015690
Entity TypeIndividualMale
Primary Taxonomy225000000X
Provider Legal NameMR. MARK GOLDBERGCredential: C.P.O
Location Address9 TECHNOLOGY DREast Setauket, NY 11733-4000
Mailing Address9 Technology DrEast Setauket, NY 11733-4000 · (631) 689-6606 · Fax (631) 941-3525
Phone(631) 689-6606
Fax(631) 941-3525
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1114015690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225000000X
Definition
An individual trained in the management of fitting prefabricated orthoses.
Also ListedOrthotistTaxonomy 222Z00000X
Also ListedProsthetistTaxonomy 224P00000X
9 TECHNOLOGY DR, East Setauket, NY 11733
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Other Identifiers 1

Medicaid01077018NY

Other Providers at the Same Location NPPES 5

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

MR. DANIEL DOUGHTY C.O.
Prosthetic/Orthotic Supplier
9 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 689-6606
LAWRENCE LITTLE
Orthotist
9 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 689-6606
THOMAS MCGRATH C.P.
Prosthetic/Orthotic Supplier
9 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 689-6606
ANGELO MARULLO
Orthotist
9 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 689-6606
MR. JOHN HRUBY CO
Orthotist
9 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 689-6606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Goldberg's NPI number?

The NPI number for Mark Goldberg is 1114015690. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Mark Goldberg located?

Mark Goldberg practices at 9 Technology Dr, East Setauket, NY 11733. The listed phone number is (631) 689-6606.

What is Mark Goldberg's specialty?

The primary specialty registered for this NPI is Orthotic Fitter with taxonomy code 225000000X.

When was this NPI record last updated?

The NPPES record for Mark Goldberg was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.