DR. JEFFREY I GOLDBERG DDS
NPI 1760405088
Dentist - Orofacial Pain in Amherst, NY

Q: What is Jeffrey Goldberg's NPI number?

The NPI number for Jeffrey Goldberg is 1760405088. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Jeffrey Goldberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Q: Is Jeffrey Goldberg enrolled in Medicare?

No. Jeffrey Goldberg has opted out of Medicare through May 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Goldberg was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 26, 2006Opted out of Medicare · through May 30, 2027

3980 SHERIDAN DR, #401, AMHERST, NY 14226(716) 636-2222(716) 636-2252 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2019, Mar 29, 2016 (2 updates tracked since 2016).

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About Dr. Jeffrey I Goldberg Dds NPPES

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

DR. JEFFREY I GOLDBERG DDS (NPI 1760405088) is an individual orofacial pain provider in Amherst, New York, licensed in New York (051433) and active in the NPI registry since July 2006. He has opted out of Medicare through May 30, 2027.

NPPES Registry Identity

NPI1760405088

Entity TypeIndividualMale

Primary Taxonomy1223X2210X

Provider Legal NameDR. JEFFREY I GOLDBERGCredential: DDS

Location Address3980 SHERIDAN DR, #401Amherst, NY 14226-1727

Mailing Address3980 Sheridan Dr, #401Amherst, NY 14226-1727 · (716) 636-2222 · Fax (716) 636-2252

Phone(716) 636-2222

Fax(716) 636-2252

Sole ProprietorYes

Enumeration DateJuly 26, 2006

Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration

✔ NPI 1760405088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orofacial PainDental Providers

Taxonomy Code1223X2210X

License✔ Licensed in NY · 051433

Definition

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 051433 (NY)

3980 SHERIDAN DR, Amherst, NY 14226

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jeffrey I Goldberg Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 30, 2023 through May 30, 2027.

Opt-Out Effective DateMay 30, 2023

Opt-Out In Effect ThroughMay 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MS. CARRIE ANN KUGLER RPA-C

Physician Assistant

3980 SHERIDAN DR, SUITE 200
AMHERST, NY 14226

Erie County (716) 250-2000

SYDNEY GRABAU

Physician Assistant

3980 SHERIDAN DR, 6TH FLOOR
AMHERST, NY 14226

Erie County (716) 250-2000

KATHLEEN SHANNON

Social Worker (Clinical)