Individual provider Active NPI

Marian Goldsmith, M.S., AUDIOLOGY

  • Audiologist
  • Endwell, NY
National Provider Identifier
1093742181
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000133 Issued in NY
Practice address
800 Hooper Rd
Suite 370
Endwell, NY 13760-1560
Phone
(607) 786-5130
Fax
(607) 786-4637
NPI assigned
Jun 26, 2006
Last updated
Jul 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000133 NY Primary
Audiologist-Hearing Aid Fitter 237600000X 14000008836 NY

Addresses

Primary practice location

800 Hooper Rd
Suite 370
Endwell, NY 13760-1560

Mailing address

2407 Jenkins St
Endwell, NY 13760-3219
Phone (607) 754-8756

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000133NYMDPsychoanalyst
14000008836NYMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1093742181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 JENKINS ST",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603219",
            "telephone_number": "607-754-8756",
            "fax_number": "607-786-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOOPER RD",
            "address_2": "SUITE 370",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137601560",
            "telephone_number": "607-786-5130",
            "fax_number": "607-786-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "MARIAN",
        "credential": "M.S., AUDIOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000133",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000008836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endwell, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.