National Provider Identifier Database

MARK GOLDBERG, C.P.O – NPI #1114015690
Orthotics/Prosthetics Fitter

(1) An individual who, under the guidance of and in consultation with the orthotist/prosthetist, fabricates orthotics/prosthetics in such a manner as to provide maximum fit, function, cosmesis and workmanship. (2) An individual who, under the direction of a orthotist/prothetist, follows prescriptions and specifications to determine a device, such as a brace, to be made and the materials and tools needed to make the device. A technician then develops the devices.


Contact Information

MARK GOLDBERG, C.P.O
9 TECHNOLOGY DR
EAST SETAUKET, NY11733-4000
Phone: 631-689-6606
Fax: 631-941-3525
Website:
Specialty Taxonomy Code
* Orthotics/Prosthetics Fitter 225000000X
Orthotist 222Z00000X
Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for MARK GOLDBERG

NPI Number 1114015690
Credentials C.P.O
Entity Individual
Enumeration date 10/10/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Yes
Identifiers
  • NY Medicaid: 01077018
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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