Active NPI
Nina Goldrich, NP
- Pediatric Nurse Practitioner
- Forest Hills, NY
National Provider Identifier
1033673116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 383849
- Practice address
- 6735 112TH St
Forest Hills, NY 11375-2349 - Phone
- (718) 263-0740
- Fax
- (718) 263-9894
- NPI assigned
- Jan 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 383849 | NY | Primary |
Addresses
Primary practice location
6735 112TH St
Forest Hills, NY 11375-2349
Mailing address
6735 112TH St
Forest Hills, NY 11375-2349
Phone (718) 263-0740
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 558306 | NY | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics Health Associates, P.C. | Past | Accepting new patients | |
| Allied Physicians Group, PLLC | Past | Accepting new patients |
Interoperability endpoints
- nina.goldrich.1@29151.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Melville, NY
- NPI 1396944799
-
- Pediatrics Physician
- Plainview, NY
- NPI 1386883155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1033673116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6735 112TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752349",
"telephone_number": "718-263-0740",
"fax_number": "718-263-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6735 112TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752349",
"telephone_number": "718-263-0740",
"fax_number": "718-263-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDRICH",
"first_name": "NINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "383849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.