Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hayley Goldbach, MD

Individual provider Pediatrics Physician · NPI 1154701019

Hayley Goldbach, MD is a Dermatology in Providence, Rhode Island. Graduated from Pennsylvania State University College of Medicine in 2015, 11 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Rhode Island.

Years since qualifying
11
Trained at
Pennsylvania State University College of Medicine
Licensed in
PA, RI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy Street Ambulatory Patient Center Apc 10
Providence, RI 02903-4626
Phone: (401) 444-7959
Fax: (401) 444-7144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD17221 (RI)
Pediatrics Physician Taxonomy 208000000X · Licence MT208181 (PA)

Record details

NPI number1154701019
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2015
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020
Mailing address3401 Civic Center Blvd, The Children'S Hospital Of Philadelphia 9nw Room 55, Philadelphia, PA 19104-4319

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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