Adam Gottlieb

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

309995 Issued in NY

Practice address

387 Ocean Ave
Massapequa Park, NY 11762-1623

Phone

(516) 528-4329

NPI assigned

Sep 29, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1154938611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 OCEAN AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 OCEAN AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621623",
            "telephone_number": "516-528-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Giuntini, RN
• GN Audiology PLLC
• Michele Gogliucci, LCSW
• Ann S Goldberg, LCSW
• Paul Russell Goldman, P.T.
• Adam Goudreau, B.A., M.A.
• Jessica Graiser
• Christine V. Green
• Angela M. Greenhalgh, LCSW
• Francine Lynn Grumet, B.S.M.S.

• Adult Health Nurse Practitioner in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.