Individual ProviderShlomie GoldbergPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 55th St, Brooklyn, NY 11220-2559(718) 630-7185(800) 377-8721PECOS EnrollmentBased on the most recent information from CMS, provider Shlomie Goldberg is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1609842582Provider TypeIndividualFull NameGoldberg, ShlomieCredentialP.A.GenderMaleSole ProprietorNoEnumeration Date2/28/2006Last Updated10/24/2007Contact InformationPractice LocationPractice Address150 55th St, Brooklyn, NY 11220-2559Phone(718) 630-7185FaxUnlisted FaxMailing LocationMailing AddressPO Box 409041, Atlanta, GA 30384-9041Phone(800) 377-8721Fax(304) 523-2241Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense009275-1New YorkProvider IdentifiersIDDescriptionIssuerIDP00286373DescriptionOtherIssuerRAILROADNew York