Active NPI
Chaya Goldstein, MS. ED
- Specialist
- Airmont, NY
National Provider Identifier
1033580949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1381877
- Practice address
- 2A Iroquois TRL
Airmont, NY 10952-4923 - Phone
- (347) 683-9240
- NPI assigned
- Oct 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1381877 | NY | Primary |
Addresses
Primary practice location
2A Iroquois TRL
Airmont, NY 10952-4923
Mailing address
2A Iroquois TRL
Airmont, NY 10952-4923
Phone (347) 683-9240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB56648C | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1381877 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1033580949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2A IROQUOIS TRL",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109524923",
"telephone_number": "347-683-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2A IROQUOIS TRL",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109524923",
"telephone_number": "347-683-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "CHAYA",
"credential": "MS. ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1381877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CB56648C",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Airmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.