BARRY EDWARD GOLDBERG M.D.
NPI 1528063344
Pediatrics - Pediatric Cardiology in West Islip, NY

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
1111 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-4098(631) 376-3547 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Barry Edward Goldberg M.d. NPPES

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

BARRY EDWARD GOLDBERG M.D. (NPI 1528063344) is an individual pediatric cardiology provider in West Islip, New York, licensed in New York (180384) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1528063344
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameBARRY EDWARD GOLDBERGCredential: M.D.
Location Address1111 MONTAUK HWYWest Islip, NY 11795-4910
Mailing Address1111 Montauk HwyWest Islip, NY 11795-4910 · (631) 376-4098 · Fax (631) 376-3547
Fax(631) 376-3547
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 17, 2005
Last NPPES UpdateFebruary 12, 2008
✔ NPI 1528063344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NY · 180384
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1111 MONTAUK HWY, West Islip, NY 11795

Other Identifiers 15

OtherS58003NY · Suffolk Health Plan
Other17L631NY · Blue Cross Blue Shield
Other529661NY · Aetna Managed Care
Other5737050NY · Aetna/us Healthcare
Other940143NY · Champus
Other1C2998NY · Healthnet
Medicare UPINF44898NY
Other040426010631NY · Fidelis
Other010180384NY01NY · Anthem Health
Other2101425NY · Ghi
Medicaid01593315NY
OtherDS691NY · Oxford Health Plan
Other86769NY · Vytra Healthcare
OtherAG48955NY · Mdny Healthcare
Medicare ID-Type Unspecified17L633NY · Medicare Provider #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Barry Edward Goldberg M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638392665
PECOS Enrollment IDI20140521000096
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 Barry Goldberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group

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.

Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Internal Medicine
1111 MONTAUK HWY, SUITE 2-2
WEST ISLIP, NY 11795
Specialist
1111 MONTAUK HWY, 3RD FLOOR
WEST ISLIP, NY 11795
Pediatrics
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Obstetrics & Gynecology
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Nurse Practitioner (Pediatrics)
1111 MONTAUK HWY, SUITE 104
WEST ISLIP, NY 11795
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795

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 Barry Goldberg's NPI number?

The NPI number for Barry Goldberg is 1528063344. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Barry Goldberg located?

Barry Goldberg practices at 1111 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-4098.

What is Barry Goldberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Barry Goldberg enrolled in Medicare?

Yes. Barry Goldberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Barry Goldberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barry Goldberg reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). 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 Barry 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 Barry Goldberg was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.