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GOLDENBERG DERMATOLOGY, PC
NPI 1720526007
Specialist in New York, NY

Active since February 07, 2017CLIA 33D2145482 · Certificate of Compliance
14 E 75TH ST, 1B, NEW YORK, NY 10021(917) 209-9940 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Goldenberg Dermatology, Pc NPPES

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

GOLDENBERG DERMATOLOGY, PC (NPI 1720526007) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since February 2017. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Gary Goldenberg, President, as its authorized official.

NPPES Registry Identity

NPI1720526007
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGOLDENBERG DERMATOLOGY, PC
Location Address14 E 75TH ST, 1BNew York, NY 10021-2625
Mailing Address14 E 75th St, 1bNew York, NY 10021-2625 · (917) 209-9940
Phone(917) 209-9940
Organization SubpartNo
Authorized OfficialGary GoldenbergPresident · (917) 209-9940
Enumeration DateFebruary 7, 2017
✔ NPI 1720526007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 250770
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
14 E 75TH ST, New York, NY 10021
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Other Identifiers 1

Medicare UPINA40008021NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Goldenberg Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Goldenberg Dermatology, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kristina Goldenberg, M.D.
Dermatology
NPI 1801183033
14 E 75TH ST # 1B
New York, NY 10021
(212) 405-8202
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D2145482

Goldenberg Dermatology PC · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2145482
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Gary Goldenberg
Laboratory Phone(212) 405-8202
Laboratory LocationGoldenberg Dermatology PC14 East 75th Street, New York, NY 10021
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Goldenberg Dermatology, PC's NPI number?

The NPI number for Goldenberg Dermatology, PC is 1720526007. It was assigned to this organization in the NPPES registry on February 7, 2017.

Where is Goldenberg Dermatology, PC located?

Goldenberg Dermatology, PC is located at 14 E 75th St 1B, New York, NY 10021. The listed phone number is (917) 209-9940.

What is Goldenberg Dermatology, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Goldenberg Dermatology, PC enrolled in Medicare?

Yes. Goldenberg Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Goldenberg Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Goldenberg Dermatology, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Goldenberg Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2145482) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Goldenberg Dermatology, PC was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.