Individual provider Active NPI

Nina Goldrich, NP

  • Pediatric Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1033673116
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383849 Issued in NY
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

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
558306NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics Health Associates, P.C. Past Accepting new patients
Allied Physicians Group, PLLC PastSince Jun 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.