Liza Goldman Huertas, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

50785 Issued in CT

Practice address

299 Washington Ave Ste LL
Hamden, CT 06518-3039

Phone

(203) 288-4288

Fax

(855) 414-1404

NPI assigned

Jan 5, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Liza Goldman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Medical Group, LLC

  • Pediatrics Physician
  • Hamden, CT
  • NPI 1588603997

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1023439338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 WASHINGTON AVE STE LL",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183039",
            "telephone_number": "203-288-4288",
            "fax_number": "855-414-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 WASHINGTON AVE STE LL",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183039",
            "telephone_number": "203-288-4288",
            "fax_number": "855-414-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN HUERTAS",
        "first_name": "LIZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-05",
        "last_updated": "2024-04-30",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "50785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008049447",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "GOLDMAN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jonathan Lewis Goldberg, DMD
• Judith Goldberg, M.A.
• Golden Days Adult Care Center LLC
• Heather Goldfuss, RPT
• Patrice C Golding
• Goldson Transport LLC
• Rohan Goldson
• Robert T Golia, DDS, FAGD
• Celina Gomes, LCSW
• Maria Angeles Gonzalez-Ibanez, PHD IN PSYCHOLOGY

• Family Medicine Physician in Hamden, CT
• Providers in Hamden, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.