Dr. Nicola Robyn Goldberg – Internist / Geriatrician | Toronto, ON

Dr. Nicola Robyn Goldberg is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Toronto, ON, she serves the surrounding communities, ensuring access to specialized adult and senior healthcare. Her practice adheres to the standards and ethical guidelines set forth by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Goldberg's role involves delivering personalized care tailored to the unique medical needs of her patients, emphasizing both diagnosis and management of complex health issues.

She graduated with a Medical Degree from the University of Toronto in 2015 and completed extensive postgraduate medical training in Internal Medicine and Geriatric Care. Her certifications include successful completion of residency programs and board examinations in her specialties, ensuring her expertise aligns with Canadian medical standards and best practices.

With a professional and clinical approach, Dr. Goldberg is committed to the health and well-being of her patients. She speaks English fluently and values clear communication and compassionate care. Her philosophy centers on evidence-based medicine, holistic assessment, and fostering active patient engagement to optimize health outcomes and quality of life for adults, especially older adults.

Dr. Goldberg provides expert care for adults with a wide range of medical conditions, including:

Endocrine & Metabolic Disorders

• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.

Complex Diagnostic & Multi-System Issues

• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.

Geriatric Syndromes & Focused Elder Care

• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.

Dr. Goldberg manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.

Note: This list represents some of the key services offered by Dr. Goldberg. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Goldberg's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Goldberg's practice is located in the Lawrence Park neighbourhood of Toronto, within a modern medical facility affiliated with Mount Sinai Hospital. The practice is conveniently situated near Cherry Beach and the Port Lands, accessible via multiple TTC routes including subway, streetcar, and bus services. The facility is wheelchair accessible, ensuring ease of access for all patients. Parking is available at the facility, with additional metered street parking nearby. Patients can expect a welcoming environment that prioritizes accessibility and patient comfort.

How is payment handled for appointments with Dr. Goldberg? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Goldberg are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. Goldberg. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

How does a Geriatrician's role differ?

A Geriatrician is an Internist (or Family Physician) with additional specialized training focused on the unique health needs of older adults (often 65+). They excel at managing 'geriatric syndromes' like falls, frailty, memory loss, and polypharmacy. Dr. Goldberg, with expertise in Internal Medicine and Geriatric Care, applies principles of geriatric care to optimize health, function, and quality of life for older patients. She often takes a very holistic view, considering social and functional aspects alongside medical issues.

Is the focus mainly on diseases or also on daily function?

While diagnosing and managing diseases like Adrenal Gland Disorders or Chronic Kidney Disease (CKD) is crucial, Dr. Goldberg also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care, and participation in meaningful activities.

Why is reviewing multiple medications (polypharmacy) important?

As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.

Mount Sinai Hospital
Suite 19-230, 2075 Bayview Ave, Department of Paediatrics
Toronto, ON M4N 3M5

Phone: (416) 480-4662 | Fax: (416) 480-6002

The facility is wheelchair accessible.

Dr. Goldberg is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Goldberg-Nicola-Robyn/0303052-106526