Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154489367 Individual Practitioner Male Practitioner

Dr. Maynard C Goldberg , DDS

Dentist • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Maynard Goldberg, DDS is a registered healthcare professional specializing in Dentist in Bronx, NY. Practice services are available at 1400 PELHAM PKWY S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 Pelham Pkwy S

Bronx, NY 104611138

Telephone 7189183060
Fax 7189184469
Associated Practice Facility / Clinic
🏢 Ihs Of New York Inc Facility NPI 1073549192

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
305 Specialists

Practicing in Bronx, NY (6355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 023203

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02815694 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003199746
Anjali Acharya

Internal Medicine

NPI 1003903444
Dr. Sonali Ruder , DO

Emergency Medicine

NPI 1003950429

Doctor of Osteopathic Medicine (D.O.)

Daniela Levanon

Pediatrics - Pediatric Gastroenterology

NPI 1003971953
Dr. Vikram Duvvi , MD

Psychiatry & Neurology - Psychiatry

NPI 1003995523

Doctor of Medicine (M.D.)

Deborah Smith , CNM

Advanced Practice Midwife

NPI 1013073931

Certified Nurse Midwife

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1400 PELHAM PKWY S, BRONX, NY 104611138 (Tel: 7189183060)

📍
Updated Business Mailing Address July 08, 2007

Registered at 469 MANCHESTER RD, YORKTOWN HEIGHTS, NY 105981203

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MAYNARD GOLDBERG, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #023203 in NY)

🟢
Initial NPI Registration & Enumeration December 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154489367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

469 Manchester Rd

Yorktown Heights, NY 105981203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.