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DR. ETHAN M GOLDBERG M.D., PH.D.
NPI 1629234299
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since August 04, 2008PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - NEUROLOGY, PHILADELPHIA, PA 19104(215) 590-1719(215) 590-1771 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ethan M Goldberg M.d., Ph.d. NPPES

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

DR. ETHAN M GOLDBERG M.D., PH.D. (NPI 1629234299) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD444351) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2008).

NPPES Registry Identity

NPI1629234299
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ETHAN M GOLDBERGCredential: M.D., PH.D.
Location Address3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - NEUROLOGYPhiladelphia, PA 19104-4319
Mailing Address100 E Penn Sq, 9th FlPhiladelphia, PA 19107-3323 · (267) 425-9234 · Fax (267) 425-9299
Phone(215) 590-1719
Fax(215) 590-1771
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2008
Enumeration DateAugust 4, 2008
Last NPPES UpdateJanuary 6, 2015
✔ NPI 1629234299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD444351
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPediatricsTaxonomy 208000000X · License MT192691 (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ethan M Goldberg M.d., Ph.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 ID6406097062
PECOS Enrollment IDI20130724000087
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Ethan Goldberg's NPI number?

The NPI number for Ethan Goldberg is 1629234299. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Ethan Goldberg located?

Ethan Goldberg practices at 3401 Civic Center Blvd Children's Hospital Of Philadelphia - Neurology, Philadelphia, PA 19104. The listed phone number is (215) 590-1719.

What is Ethan Goldberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ethan Goldberg enrolled in Medicare?

Yes. Ethan 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.

When was this NPI record last updated?

The NPPES record for Ethan Goldberg was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.