{"npi":"1104822857","type":"NPI-1","status":"active","name":{"display":"Fredric Goldberg MD","other":[],"first":"FREDRIC","last":"GOLDBERG","middle":"HOWARD","credential":"MD"},"specialty":{"primary_taxonomy":"207L00000X","primary_taxonomy_description":"Anesthesiology","slug":"anesthesiology","schema_org_specialty":"Anesthesia","all":[{"code":"207L00000X","description":"Anesthesiology","primary":false,"state":"PA","license":"MD-042377-L"},{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":"PA","license":"MD042377L"},{"code":"207L00000X","description":"Anesthesiology","primary":true,"state":"NJ","license":"25MA08301300"}]},"addresses":[{"purpose":"LOCATION","street_1":"380 OXFORD VALLEY RD","city":"LANGHORNE","state":"PA","postal_code":"190478304","country_code":"US","phone":"2159495311","fax":"2159495317"},{"purpose":"MAILING","street_1":"PO BOX 8500-6335","city":"PHILADELPHIA","state":"PA","postal_code":"191786335","country_code":"US","phone":"2158078000","fax":"2159495317"}],"license":{"state":"NJ","number":"25MA08301300"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0015119460010","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"30070981","state":"PA","issuer":"KEYSTONE MERCY"},{"type_code":"01","label":"Other","value":"616889","state":"PA","issuer":"AETNA HMO"},{"type_code":"05","label":"Medicaid","value":"1511946","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"698885","state":"PA","issuer":"HIGHMARK BLUE SHIELD"},{"type_code":"01","label":"Other","value":"0534094000","state":"PA","issuer":"KEYSTONE IBC"},{"type_code":"01","label":"Other","value":"P00760072","state":"PA","issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"23062MD042377L","state":"PA","issuer":"HEALTH PARTNERS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080226000484","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"NJ","pac_id":"2860462801"}]},"enumeration_date":"2005-06-27","last_updated":"2023-01-06","_meta":{"source":"NPPES","snapshot_date":"2023-01-06","doc_url":"https://findmynpi.com/api"}}