1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. ILANA GOLDBERG DDS
NPI 1508508698
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 10, 2022PECOS Enrolled
1901 1ST AVE FL 15, NEW YORK, NY 10029(212) 423-6271 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2023, Apr 10, 2022 (2 updates tracked since 2022).

About Dr. Ilana Goldberg Dds NPPES

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

DR. ILANA GOLDBERG DDS (NPI 1508508698) is an individual student in an organized health care education/training program in New York, New York, licensed in Connecticut (13783) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508508698
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ILANA GOLDBERGCredential: DDS
Location Address1901 1ST AVE FL 15New York, NY 10029-7491
Mailing Address1901 1st Ave Fl 15New York, NY 10029-7491 · (212) 423-6271
Phone(212) 423-6271
Sole ProprietorNo
Enumeration DateApril 10, 2022
Last NPPES UpdateMay 19, 20232 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
✔ NPI 1508508698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CT · 13783
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1901 1ST AVE FL 15, New York, NY 10029
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ilana Goldberg Dds 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.

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.

JAY FREDERIC KAMMERMAN
Student in an Organized Health Care Education/Training Program
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
NIDHA IQBAL SHAPOO
Internal Medicine
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
YANAL AHMAD ALI AL OMARI MD
Student in an Organized Health Care Education/Training Program
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
JARROD P SHEEHAN DO
Emergency Medicine
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
MARY CYNTHIA DURAN MD
Student in an Organized Health Care Education/Training Program
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
MAJD NIDAL PAK DDS
Student in an Organized Health Care Education/Training Program
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
SAI GAUTHAM KANAGALA
Student in an Organized Health Care Education/Training Program
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
DR. TINA GOWDA MD
Student in an Organized Health Care Education/Training Program
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271

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 Ilana Goldberg's NPI number?

The NPI number for Ilana Goldberg is 1508508698. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is Ilana Goldberg located?

Ilana Goldberg practices at 1901 1st Ave Fl 15, New York, NY 10029. The listed phone number is (212) 423-6271.

What is Ilana Goldberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ilana Goldberg enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ilana Goldberg was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.