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MR. JODY FERN GOLDBERG MD
NPI 1700977253
Pediatrics - Adolescent Medicine in Jamaica, NY

Active since September 28, 2006PECOS Enrolled
9037 PARSONS BLVD, JAMAICA, NY 11432(718) 334-6400(718) 334-6430 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Jody Fern Goldberg Md NPPES

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

MR. JODY FERN GOLDBERG MD (NPI 1700977253) is an individual adolescent medicine provider in Jamaica, New York, licensed in New York (161405) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700977253
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameMR. JODY FERN GOLDBERGCredential: MD
Location Address9037 PARSONS BLVDJamaica, NY 11432-6032
Mailing Address7901 Broadway, Managed Care, D1-01Elmhurst, NY 11373-1329 · (718) 334-1921 · Fax (718) 334-3432
Phone(718) 334-6400
Fax(718) 334-6430
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMay 18, 2015
✔ NPI 1700977253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 161405
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
9037 PARSONS BLVD, Jamaica, NY 11432
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Other Identifiers 2

Medicare ID-Type Unspecified00330231NY
Medicaid00246075NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jody Fern 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 Jody Goldberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation
1.0 mi
General Acute Care Hospital
82-68 164TH ST
Jamaica, NY 11432
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1801803903 (718) 883-2929

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

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.32 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$30.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

DR. WILFRID FLORVIL MD
Pediatrics
9037 PARSONS BLVD
JAMAICA, NY 11432
Queens County (718) 334-6400
QURAT-UL-AIN SYEDAIN M.D.
Internal Medicine
9037 PARSONS BLVD
JAMAICA, NY 11432
Queens County (718) 334-6400
TUNISHA EADDY LMSW
Social Worker (Clinical)
9037 PARSONS BLVD
JAMAICA, NY 11432
Queens County (718) 553-3809
JENNIFER HUANG M.D.
Internal Medicine
9037 PARSONS BLVD
JAMAICA, NY 11432
Queens County (844) 692-4692
DR. HELLEN LIMRATANA M.D.
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
9037 PARSONS BLVD
JAMAICA, NY 11432
Queens County (347) 396-6299
TAMARA LOUISE NARINE
Internal Medicine
9037 PARSONS BLVD
JAMAICA, NY 11432
Queens County (718) 262-5533
DR. CHANDER KIRAN MD
Pediatrics
9037 PARSONS BLVD
JAMAICA, NY 11432
Queens County (718) 334-6400
DR. RENEE RICAFRENTE GRAGEDA MD
Pediatrics
9037 PARSONS BLVD
JAMAICA, NY 11432
Queens County (718) 334-6400

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 Jody Goldberg's NPI number?

The NPI number for Jody Goldberg is 1700977253. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Jody Goldberg located?

Jody Goldberg practices at 9037 Parsons Blvd, Jamaica, NY 11432. The listed phone number is (718) 334-6400.

What is Jody Goldberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Jody Goldberg enrolled in Medicare?

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

Which organization bills Medicare for Jody Goldberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jody Goldberg reassigns Medicare benefits to New York City Health And Hospitals Corporation (Jamaica, 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 Jody 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 Jody Goldberg was last updated on May 18, 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.