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AMY GOLDBERG MD
NPI 1417994542
Pediatrics - Child Abuse Pediatrics in Providence, RI

Active since May 31, 2006PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-3996(401) 444-3804 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amy Goldberg Md NPPES

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

AMY GOLDBERG MD (NPI 1417994542) is an individual child abuse pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (MD10624) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417994542
Entity TypeIndividualFemale
Primary Taxonomy2080C0008X
Provider Legal NameAMY GOLDBERGCredential: MD
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address593 Eddy St, Hasbro 122Providence, RI 02903-4923 · (401) 444-6484 · Fax (401) 444-6378
Phone(401) 444-3996
Fax(401) 444-3804
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateApril 26, 2016
✔ NPI 1417994542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080C0008X
License✔ Licensed in RI · MD10624
Definition
A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
Also ListedPediatricsTaxonomy 208000000X · License 10624 (RI)
593 EDDY ST, Providence, RI 02903
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Other Identifiers 3

Medicare PIN007009202RI
Medicaid7009202RI
Medicare UPINH47747RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Goldberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amy Goldberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rhode Island Hospital
Same address
Pediatrics
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 265 clinicians in this Medicare group
NPI 1861420333 (401) 444-6195

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695
FANNY HUANG MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4741

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 Amy Goldberg's NPI number?

The NPI number for Amy Goldberg is 1417994542. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Amy Goldberg located?

Amy Goldberg practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-3996.

What is Amy Goldberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Is Amy Goldberg enrolled in Medicare?

Yes. Amy Goldberg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Goldberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Goldberg reassigns Medicare benefits to Rhode Island Hospital (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Goldberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Goldberg was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.